Great Lakes Eyecare, LLC

NPI #1124167978 in Mentor, Ohio

Provider Information

NPI Number: 1124167978
Entity Type: Organization
Organization Name: Great Lakes Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 6, 2007
Last Updated: Sep 14, 2007

Practice Location

Address: 7348 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-7543
Phone: (440) 953-2020

Authorized Official

Name: DR. JAMES MATTHEW BOZIC, O.D.
Title: PRESIDENT
Phone: (440) 953-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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