Individual
DR. MARC TODD LANDES
Active
Individual
DR. MARC TODD LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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