Provider Demographics
NPI:1912925116
Name:SZABO, ALEX J (OD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:J
Last Name:SZABO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26777 LORAIN RD STE 203
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3226
Mailing Address - Country:US
Mailing Address - Phone:440-734-4777
Mailing Address - Fax:
Practice Address - Street 1:26777 LORAIN RD
Practice Address - Street 2:SUITE 203
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3200
Practice Address - Country:US
Practice Address - Phone:440-734-4777
Practice Address - Fax:440-734-0555
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3573152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00457677OtherRAILROAD MEDICARE
OH4592610OtherAETNA
OH4717982OtherCIGNA
OH000000152224OtherANTHEM BLUE CROSS & BLUE
OHP00457677OtherRAILROAD MEDICARE
OHSZ0583833Medicare PIN