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Contact Information

ABDUL QOTAYNAH O.D., INC.
7850 MENTOR AVE
SUITE 368
MENTOR, OH44060-5520
 Phone: 440-974-6793
 Fax: 440-974-6621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ABDUL QOTAYNAH O.D., INC.

NPI # 1740318542
LBN Legal business name ABDUL QOTAYNAH O.D., INC.
Authorized official ABDULWAHED QOTAYNAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 5148 T2047
OH Medicaid 2390087
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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