Provider Demographics
NPI:1760784060
Name:CYNTHIA J. JEMIOLA, O.D., INC
Entity Type:Organization
Organization Name:CYNTHIA J. JEMIOLA, O.D., INC
Other - Org Name:EYEWEAR 20/20
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-461-2500
Mailing Address - Street 1:5194 WILSON MILLS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3006
Mailing Address - Country:US
Mailing Address - Phone:440-461-2500
Mailing Address - Fax:440-461-2588
Practice Address - Street 1:5194 WILSON MILLS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-3006
Practice Address - Country:US
Practice Address - Phone:440-461-2500
Practice Address - Fax:440-461-2588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3452-T830332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier