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NPI Code Detail

MEDICARE: SID SAVITT, INC.

MEDICARE: SID SAVITT, INC.
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
1332H00000XEyewear Supplier3267OH
2152W00000XOptometrist3267OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000001051618OTHEROHANTHEM

General Provider Information

NPI Number : 1205999778
Entity Type Code : Organization
Provider Name (Legal Business Name) : SID SAVITT, INC.
Provider Business Mailing Address
First Line : 29610 EUCLID AVE
Second Line :
City : WICKLIFFE
State : OH
Zip : 44092-1829
Country : US
Telephone Number : 440-943-1993
Fax Number : 440-943-9595
Provider Business Practice Location Address
First Line : 29610 EUCLID AVE
Second Line :
City : WICKLIFFE
State : OH
Zip : 44092-1829
Country : US
Telephone Number : 440-943-1993
Fax Number : 440-943-9595
Authorized Official
Title or Position : OWNER
Name : DR. SID E. SAVITT
Credential : O.D.
Telephone Number : 440-943-1993
Provider Enumeration Date : 12/18/2006
Last Update Date : 12/29/2016

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Directions to “SID SAVITT, INC. ” Practice Location

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