Sude, Jerome

Sude, Jerome is an individual health care provider with primary practice located at 3510 Manchester Rd , Coventry Township OH 44319-1415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sude, Jerome can be contacted via phone (330) 753-2100.

Contact Information

Primary practice address
3510 Manchester Rd Coventry Township OH 44319-1415
Phone: (330) 753-2100
Fax: (330) 633-7165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3046/T812 Ohio

Profile Details

NPI number 1982607727
LBN Legal business name Sude, Jerome
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 8th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982607727 NPPES
Ohio Other 1418274 UNITED HEALTHCARE
Ohio Other 410022025 UNITED HEALTHCARE
Ohio Other 0655759 UNITED HEALTHCARE
Ohio Other 341572960B UNITED HEALTHCARE
Ohio Other 728946 UNITED HEALTHCARE
Ohio Other 000000134329 UNITED HEALTHCARE
Ohio Other 4338408 UNITED HEALTHCARE
Ohio MEDICAID 0505046 UNITED HEALTHCARE

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