Northern Ohio Medical Specialists,llc

NPI #1407365349 in Avon Lake, Ohio

Provider Information

NPI Number: 1407365349
Entity Type: Organization
Organization Name: Northern Ohio Medical Specialists,llc
Primary Specialty: Ophthalmology
Enumeration Date: Sep 22, 2017
Last Updated: Jan 13, 2021

Practice Location

Address: 32730 WALKER RD STE J1
City: Avon Lake
State: Ohio
ZIP Code: 44012-2235
Phone: (440) 961-2040

Authorized Official

Name: JOSHUA G FREDERICK
Title: CEO
Phone: (419) 626-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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