Provider Demographics
NPI:1396266375
Name:LINDEMUTH, ISAAC J (OD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:J
Last Name:LINDEMUTH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-0490
Mailing Address - Country:US
Mailing Address - Phone:440-975-8200
Mailing Address - Fax:
Practice Address - Street 1:34302 EUCLID AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-3334
Practice Address - Country:US
Practice Address - Phone:440-975-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT006710152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist