Joseph G. Van Keuren

NPI #1366628620 in Elyria, Ohio

Provider Information

NPI Number: 1366628620
Entity Type: Organization
Organization Name: Joseph G. Van Keuren
Primary Specialty: Optometrist
Enumeration Date: Jan 17, 2008
Last Updated: Jan 17, 2008

Practice Location

Address: 1212 ABBE RD N
Address 2: SUITE B
City: Elyria
State: Ohio
ZIP Code: 44035-1600
Phone: (440) 365-2021

Authorized Official

Name: MARY JO SZIVAN
Title: BILLING
Phone: (440) 365-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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