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NPI Code Detail

MEDICARE: DR. JENNIFER ANN CHOATE O.D.

MEDICARE: DR. JENNIFER ANN CHOATE 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
1152W00000XOptometrist5210OH

General Provider Information

NPI Number : 1942228341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER ANN CHOATE O.D.
Provider Business Mailing Address
First Line : 8787 BROOKPARK RD
Second Line :
City : PARMA
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 216-739-0330
Fax Number : 216-229-2585
Provider Business Practice Location Address
First Line : 55 W WATERLOO RD
Second Line :
City : AKRON
State : OH
Zip : 44319-1116
Country : US
Telephone Number : 330-724-7715
Fax Number : 330-724-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 06/23/2021

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