NPI 1366628620

Joseph G. van Keuren

Organisation Optometrist Elyria, OH

Practice location

Address: 1212 Abbe Rd N Suite B, Elyria, OH 44035-1600
Phone: (440) 365-2021
Fax: (440) 365-2033

Authorised official

Name: Mary Jo Szivan
Title: Billing
Phone: (440) 365-2021

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Ohio →

Registry record

NPI: 1366628620
Entity type: Organization
NPI issued: 17 Jan 2008
Record last updated: 17 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.