Geraldj.d'agostino

NPI #1730316340 in Maple Heights, Ohio

Provider Information

NPI Number: 1730316340
Entity Type: Organization
Organization Name: Geraldj.d'agostino
Primary Specialty: Optometrist
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 5404 NORTHFIELD RD
City: Maple Heights
State: Ohio
ZIP Code: 44137-3113
Phone: (216) 587-6620

Authorized Official

Name: DR. GERALD J D'AGOSTINO, OD
Title: OWNER
Phone: (216) 587-6620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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