| Doctor Name: | ELAINE R NOE |
| NPI Number: | 1033137195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OPTICIAN |
| License Number: | S2805 |
| Business Practice Address: | 1 Park Center Dr Ste 101 Wadsworth, OH - 442819482 |
| Business Phone Number: | 3303353881 |
| Business Fax Number: | |
| Mailing Address: | 1 Park Center Dr Ste 101, WADSWORTH |
| State: | OH |
| Postal Code: | 442819482 |
| Phone Number: | 3303364411 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | S2805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |