Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OH3309 | OH |
NPI | 1295751287 |
---|---|
Provider Name | Dr. Neil F Sika |
First Address | Strongsville, OH 44136-8713 |
Second Address | Strongsville, OH 44136-8713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 11/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0422233 | (05) | OH |
T47301 | (02) | OH |