Eyetique INC

NPI #1265861330 in Woodmere, Ohio

Provider Information

NPI Number: 1265861330
Entity Type: Organization
Organization Name: Eyetique INC
Subpart: Yes (part of a larger organization)
Parent Organization: EYETIQUE INC
Primary Specialty: Optometrist
Enumeration Date: Nov 8, 2013
Last Updated: Jul 15, 2020

Practice Location

Address: 28699 CHAGRIN BLVD
Address 2: SUITE 400
City: Woodmere
State: Ohio
ZIP Code: 44122
Phone: (216) 514-3002

Authorized Official

Name: CATHY L SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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