Organization
PRIMARY EYECARE INC
Active
Organization
PRIMARY EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP JOHN MICHALOS O.D. (PRESIDENT)
(216) 671-2998
Entity
Organization
Contact information
Practice address
10680 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 671-2998
(216) 671-6985
Mailing address
10680 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 671-2998
(216) 671-6985
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3426
OH
Other
Enumeration date
04/26/2007
Last updated
12/06/2010
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