Organization
PLAZA OPTOMETRISTS INC.
Active
Organization
PLAZA OPTOMETRISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN G. ELLIS O.D. (OWNER)
(330) 638-4097
Entity
Organization
Contact information
Practice address
3018 STATE ROUTE 5, SUITE C, CORTLAND, OH 44410-9178
(330) 638-4097
(330) 637-0140
Mailing address
20 W FEDERAL ST, SUITE T 4, YOUNGSTOWN, OH 44503-1420
(330) 638-4097
(330) 637-0140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3343 T420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUMBERS PENDING
NUMBERS PENDING
OH
Enumeration date
10/14/2008
Last updated
10/21/2008
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