Individual
DR. JOSEPH VANKEUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1212 ABBE ROAD NORTH, STE B, ELYRIA, OH 44035
(440) 365-2021
(440) 365-2033
Mailing address
1212 ABBE ROAD NORTH, STE B, ELYRIA, OH 44035
(440) 365-2021
(440) 365-2033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4057T121
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0773551
—
OH
Enumeration date
08/22/2006
Last updated
08/03/2010
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