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Contact Information

STEPHEN N CAJACOB, OD
1034 W MARKET ST
LIMA, OH45805-2730
 Phone: 419-228-8116
 Fax: 419-228-1160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STEPHEN N CAJACOB · (Male)

NPI Number 1699774901
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/19/2005
Last updated 01/17/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 2935T377
  • OH Medicaid 0231270
  • OH Other 000000129223 ANTHEM PROVIDER NUMBER
  • OH Other 0159570001 MEDICARE DMERC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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