Organization
PREMIER EYE CARE INC
Active
Organization
PREMIER EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL PORTER OD (PRESIDENT)
(440) 230-4362
Entity
Organization
Contact information
Practice address
12794 ROYALTON RD, NORTH ROYALTON, OH 44133-4229
(440) 230-4362
(440) 230-1350
Mailing address
12794 ROYALTON RD, NORTH ROYALTON, OH 44133-4229
(440) 230-4362
(440) 230-1350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4675 T1450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204853
—
OH
Enumeration date
12/13/2006
Last updated
04/04/2008
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