Individual
MS. ALICIA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE OPTICIAN
Contact information
Practice address
9303 MENTOR AVE, MENTOR, OH 44060-6413
(440) 974-3303
(440) 974-8898
Mailing address
9303 MENTOR AVE, MENTOR, OH 44060-6413
(440) 974-3303
(440) 974-8898
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017354-S
OH
Other
Enumeration date
02/10/2023
Last updated
03/06/2023
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