Fountain Anti-Aging
Fountain Anti-Aging is an Ophthalmology Physician in Lakewood, Ohio. Works from 2 locations. Licensed in California, Connecticut, New York and Pennsylvania.
- Licensed in
- CA, CT, NY, PA
- In the registry since
- 2017
- Specialties on file
- 4
Practice location Address checks out
892 Beach RdLakewood, OH 44107-1018
Phone: (216) 233-8503
Fax: (216) 373-0044
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 892 Beach Rd, Lakewood, OH 44107-1018 — (216) 233-8503
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence 243058-1 (NY) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence G142755 (CA) |
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 56673 (CT) |
| Ophthalmology Physician | Taxonomy 207W00000X · Licence MD459908 (PA) |
Record details
| NPI number | 1154834562 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Rozakis — Chairman · (216) 233-8503 |
| Other names | Xrmd |
| NPI enumerated | November 7, 2017 |
| Last updated in NPPES | March 17, 2018 |
| Mailing address | 892 Beach Rd, Lakewood, OH 44107-1018 |
Other providers in Lakewood
-
Thomas P Cliffel, MD
14200 Madison Ave, Lakewood, OH 44107-4510 · (216) 521-5553
-
Fairview Eye Center
16400 Hilliard Rd, Lakewood, OH 44107-5610 · (216) 228-1800
-
Richard A. Statesir, MD Inc
14701 Detroit Ave Ste 280, Lakewood, OH 44107-4115 · (216) 228-9122
-
Richard Allen Statesir, MD
14701 Detroit Ave Ste 280, Lakewood, OH 44107-4109 · (216) 228-9122