Provider Demographics
NPI:1174264493
Name:JOANN M CLASS OD LTD
Entity Type:Organization
Organization Name:JOANN M CLASS OD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NERONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-579-3779
Mailing Address - Street 1:37432 FREEDOM AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2875
Mailing Address - Country:US
Mailing Address - Phone:614-579-3779
Mailing Address - Fax:
Practice Address - Street 1:46440 US HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-9475
Practice Address - Country:US
Practice Address - Phone:440-774-6738
Practice Address - Fax:440-774-6740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty