Organization
ICE OPHTHALMOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEEMA ICE M.D. (OWNER)
(330) 281-3009
Entity
Organization
Contact information
Practice address
2141 MENTOR AVE, PAINESVILLE, OH 44077-1323
(440) 354-6900
Mailing address
2141 MENTOR AVE, PAINESVILLE, OH 44077-1323
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09339
OH
Other
Enumeration date
12/31/2017
Last updated
09/21/2020
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