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NPI Code Detail

MEDICARE: LINDA M SEDLACEK O.D. & ASSOCIATES INC

MEDICARE: LINDA M SEDLACEK O.D. & ASSOCIATES 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
1152W00000XOptometrist3787OH

General Provider Information

NPI Number : 1346425766
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA M SEDLACEK O.D. & ASSOCIATES INC
Provider Business Mailing Address
First Line : 4153 BRIDGEWATER PKWY
Second Line :
City : STOW
State : OH
Zip : 44224-6191
Country : US
Telephone Number : 330-922-4393
Fax Number : 330-922-5901
Provider Business Practice Location Address
First Line : 4153 BRIDGEWATER PKWY
Second Line :
City : STOW
State : OH
Zip : 44224-6191
Country : US
Telephone Number : 330-922-4393
Fax Number : 330-922-5901
Authorized Official
Title or Position : PRESIDENT
Name : DR. LINDA M SEDLACEK
Credential : O.D.
Telephone Number : 330-922-4393
Provider Enumeration Date : 01/03/2008
Last Update Date : 01/26/2009

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