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NPI Code Detail

MEDICARE: ERIE EYE ASSOCIATES LTD

MEDICARE: ERIE EYE ASSOCIATES LTD
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
1152W00000XOptometristOH5247/T2151OH

General Provider Information

NPI Number : 1447239181
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIE EYE ASSOCIATES LTD
Provider Business Mailing Address
First Line : 1261 W ROYALTON RD
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2407
Country : US
Telephone Number : 440-526-7070
Fax Number :
Provider Business Practice Location Address
First Line : 1261 W ROYALTON RD
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2407
Country : US
Telephone Number : 440-526-7070
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. NICOLETTE ELIZABETH SCOTT
Credential : O.D.
Telephone Number : 440-526-7070
Provider Enumeration Date : 01/11/2006
Last Update Date : 05/22/2023

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Directions to “ERIE EYE ASSOCIATES LTD ” Practice Location

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