MEDICARE: DR. JOANN L VASKO O.D.

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	152W00000X	Optometrist	4087/689	OH

General Provider Information

NPI Number	:	1245234020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANN L VASKO O.D.

Provider Business Mailing Address
First Line	:	16450 ACADEMY DR
Second Line	:
City	:	STRONGSVILLE
State	:	OH
Zip	:	44149-6015
Country	:	US
Telephone Number	:	440-572-2866
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 PEARL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3616
Country	:	US
Telephone Number	:	440-845-3006
Fax Number	:	440-884-5951

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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