Provider Demographics
NPI:1992848444
Name:PATTEN, ERIC JON (OD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JON
Last Name:PATTEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19796 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8435
Mailing Address - Country:US
Mailing Address - Phone:440-846-3937
Mailing Address - Fax:440-836-9515
Practice Address - Street 1:19796 W 130TH ST
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-8435
Practice Address - Country:US
Practice Address - Phone:440-846-3937
Practice Address - Fax:440-836-9515
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5141152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist