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NPI Code Detail

MEDICARE: DR. EMILY CLAIRE VOYTILLA OD

MEDICARE:  DR. EMILY CLAIRE VOYTILLA  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5352-T2261OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001408300OTHERPAB/S

General Provider Information

NPI Number : 1023091774
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY CLAIRE VOYTILLA OD
Provider Business Mailing Address
First Line : PO BOX 520
Second Line : 10730 MAIN ST
City : MANTUA
State : OH
Zip : 44255-0520
Country : US
Telephone Number : 330-274-0502
Fax Number :
Provider Business Practice Location Address
First Line : 10730 MAIN STREET
Second Line :
City : MANTUA
State : OH
Zip : 44255
Country : US
Telephone Number : 330-274-0502
Fax Number : 330-274-8184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 05/18/2010

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Directions to “ DR. EMILY CLAIRE VOYTILLA OD” Practice Location

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