Individual
DR. MARC TODD LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
905 SINGLETARY DR, STREETSBORO, OH 44241-3975
(330) 422-2168
(330) 422-2170
Mailing address
2234 CROSS CREEK TRL, CUYAHOGA FALLS, OH 44223-1273
(330) 606-2880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085936
—
OH
05
—
0129078
—
OH
Enumeration date
06/15/2013
Last updated
01/19/2016
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