The Eye Source

NPI #1275892994 in Streetsboro, Ohio

Provider Information

NPI Number: 1275892994
Entity Type: Organization
Organization Name: The Eye Source
Primary Specialty: Optometrist
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 9424 STATE ROUTE 14
City: Streetsboro
State: Ohio
ZIP Code: 44241-5226
Phone: (330) 422-1111

Authorized Official

Name: CYNTHIA E RIPKIN
Title: OFFICE MANAGER
Phone: (330) 422-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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