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General NPI Number Information
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NPI Number | 1154871119
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Entity Type | Organization
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Legal Business Name | LOHMAN EYE CARE ASSOCIATES
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 3330 KENT RD
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City | STOW
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State | OH
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Zip | 44224-4537
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Country | US
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Telephone | 330-688-8811
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Fax | 330-688-9550
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Provider Business Mailing Address
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Address Line | 2700 SANDY LAKE RD
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City | RAVENNA
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State | OH
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Zip | 44266-8208
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Country | US
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Telephone | 330-688-8811
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Fax | 330-688-9550
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ROBERT A LOHMAN
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Credential | O.D.
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Telephone | 330-688-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3133
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License Number State | OH
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