North Coast Optical

NPI #1013116201 in Madison, Ohio

Provider Information

NPI Number: 1013116201
Entity Type: Organization
Organization Name: North Coast Optical
Primary Specialty: Optometrist
Enumeration Date: Jul 17, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 6380 N RIDGE RD
City: Madison
State: Ohio
ZIP Code: 44057-2548
Phone: (440) 428-2172

Authorized Official

Name: MR. MARK A BASHORE, O.D.
Title: OWNER
Phone: (440) 428-2172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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