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General NPI Number Information
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NPI Number | 1104229855
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Entity Type | Organization
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Legal Business Name | RETINA CENTER OF OHIO, LLC
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1161 S. GREEN ROAD SUITE 230
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-4129
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Country | US
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Telephone | 216-382-3366
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Fax | 216-382-4959
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Provider Business Mailing Address
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Address Line | 1611 S GREEN RD SUITE 306B
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-4129
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Country | US
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Telephone | 216-382-3366
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Fax | 216-382-4959
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. JESSICA PIETROPINTO
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Credential |
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Telephone | 216-382-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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