person
John W Wallace JR., LDO
Optician in North Randall, Ohio
NPI 1730551730

John W Wallace JR. is a Optician based in North Randall, OH and is specialized in Optician. John W Wallace JR. practices in North Randall, OH and has the professional credentials of LDO. The NPI Number for John W Wallace JR. is 1730551730 and holds a License No. 6310S (Ohio).

The current practice location address for John W Wallace JR. is 4840 Northfield Rd, North Randall, OH and can be reached out via phone at 216-475-2160 and via fax at 216-475-2161.

Location: 4840 Northfield Rd, North Randall, OH, 44128-4524
person
Provider Profile Details
NPI Number
1730551730
Provider Name
John W Wallace JR.
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
4840 Northfield Rd, North Randall, OH, 44128-4524
Phone Number
216-475-2160
Fax Number
216-475-2161
Provider Enumeration Date
10/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4840 Northfield Rd
City
State
Zip
44128-4524
Phone Number
216-475-2160
Fax Number
216-475-2161
person
Provider Business Mailing Address Details
Address
4840 Northfield Rd
City
State
Zip
44128-4524
Phone Number
216-475-2160
Fax Number
216-475-2161
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
6310S (Ohio)
Definition
Definition to come...
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