Organization
ALICIA'S EYEWEAR BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA FORD OPTICIAN (OWNER)
(216) 761-6055
Entity
Organization
Contact information
Practice address
10128 SAINT CLAIR AVE, CLEVELAND, OH 44108-1963
(216) 761-6055
(216) 761-6056
Mailing address
10128 SAINT CLAIR AVE, CLEVELAND, OH 44108-1963
(216) 761-6055
(216) 761-6056
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374081
—
OH
Enumeration date
10/27/2006
Last updated
06/13/2008
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