MEDICARE: DR. JOHN J. CONRAD 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
1	152W00000X	Optometrist	3525	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1306983515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J. CONRAD OD

Provider Business Mailing Address
First Line	:	16761 ST. CLAIR AVE
Second Line	:	SUITE I
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-9400
Country	:	US
Telephone Number	:	330-386-9313
Fax Number	:	330-386-9353

Provider Business Practice Location Address
First Line	:	16761 ST. CLAIR AVE
Second Line	:	SUITE I
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-9400
Country	:	US
Telephone Number	:	330-386-9313
Fax Number	:	330-386-9353

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	06/15/2009

Similar Medicare Providers

1861350365 — CANDICE RUSSELL
Practice Location Address:

16761 SAINT CLAIR AVE
EAST LIVERPOOL, OH
43920-9400

Practice Phone: 330-932-1823
Practice Fax:

1235097676 — ASPIRE MENTAL HEALTH LLC
Practice Location Address:

16761 SAINT CLAIR AVE STE 2
EAST LIVERPOOL, OH
43920-9400

Practice Phone: 330-932-1832
Practice Fax:

1760502074 — EAST LIVERPOOL FAMILY PRACTICE, LTD.
Practice Location Address:

16494 SAINT CLAIR AVE , SUITE A
EAST LIVERPOOL, OH
43920-9400

Practice Phone: 330-386-3311
Practice Fax:

1972792059 — SARA DERRINGER PEASE CNP
Practice Location Address:

16761 SAINT CLAIR AVE # 2
EAST LIVERPOOL, OH
43920-9400

Practice Phone: 330-932-3301
Practice Fax: 330-368-0957

1174790679 — OH EYE ASSOCIATES INC
Practice Location Address:

16761 SAINT CLAIR AVE
EAST LIVERPOOL, OH
43920-9400

Practice Phone: 330-382-0573
Practice Fax:

1811149800 — MS. JESSICA L. LARUBBIO LPCC-S, LICDC-CS
Practice Location Address:

16761 SAINT CLAIR AVE STE 2
EAST LIVERPOOL, OH
43920-9400

Practice Phone: 330-932-1823
Practice Fax: 330-932-1832

Directions to “ DR. JOHN J. CONRAD OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.