C R Decastecker Od INC

NPI #1609033323 in Willowick, Ohio

Provider Information

NPI Number
1609033323
Entity Type
Organization
Organization Name
C R Decastecker Od INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 20, 2008
Last Updated
Jul 24, 2008

Practice Location

Address
34690 VINE ST
State
Ohio
ZIP Code
44095-5118
Phone
(440) 946-6662

Authorized Official

Name
DR. CHRISTOPHER R DECASTECKER, OD
Title
OWNER
Phone
(440) 946-6662

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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