Wallace, John W

Wallace, John W is an sole proprietor health care provider with primary practice located at 4840 Northfield Rd , North Randall OH 44128-4524. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Wallace, John W can be contacted via phone (216) 475-2160.

Contact Information

Primary practice address
4840 Northfield Rd North Randall OH 44128-4524
Phone: (216) 475-2160
Fax: (216) 475-2161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 6310S Ohio

Profile Details

NPI number 1730551730
LBN Legal business name Wallace, John W
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2015
Last updated Oct 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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