Doctor Name: | DR. PETER V. MOGYORDY |
NPI Number: | 1043203078 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 4481 |
Business Practice Address: | 26927 Detroit Rd Westlake, OH - 441452370 |
Business Phone Number: | 4408925367 |
Business Fax Number: | 4402495094 |
Mailing Address: | 26927 Detroit Rd, WESTLAKE |
State: | OH |
Postal Code: | 441452370 |
Phone Number: | 4408925367 |
Fax Number: | 4402495094 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 4481 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |