Organization
DENISE M. KUDER,O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE MICHELLE KUDER O.D. (PRESIDENT)
(440) 937-4765
Entity
Organization
Contact information
Practice address
35901 CHESTER RD, AVON, OH 44011-1069
(440) 937-4765
Mailing address
35901 CHESTER RD, AVON, OH 44011-1069
(440) 937-4765
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199218
ANTHEM
OH
Enumeration date
01/23/2007
Last updated
09/23/2020
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