Organization
ISADORE JOHN YOUSHAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISADORE J YOUSHAK O.D. (OPTOMETRIST)
(440) 632-0194
Entity
Organization
Contact information
Practice address
15795 W HIGH ST, MIDDLEFIELD, OH 44062-9294
(440) 632-0194
Mailing address
15795 W HIGH ST, PO BOX 276, MIDDLEFIELD, OH 44062-9294
(440) 632-0194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2777T980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132181
—
OH
Enumeration date
07/09/2008
Last updated
07/09/2008
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