MEDICARE: MR. PERRY EPSTEIN LDO

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
1	156FX1800X	Optician	26 SC	OH

General Provider Information

NPI Number	:	1063415867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PERRY EPSTEIN LDO

Provider Business Mailing Address
First Line	:	34050 SOLON RD
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-2664
Country	:	US
Telephone Number	:	440-248-8535
Fax Number	:

Provider Business Practice Location Address
First Line	:	34050 SOLON RD
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-2664
Country	:	US
Telephone Number	:	440-248-8535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. PERRY EPSTEIN LDO” Practice Location

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