Indian Mound Eye Clinic INC
Optometrist in Heath, OH. Organization (NPI-2).
NPI number1487868071
StatusActive
Last updated in NPPESJan 9, 2008
Details
- NPI
- 1487868071
- Entity type
- Organization (NPI-2)
- Legal business name
- Indian Mound Eye Clinic INC
- Organization subpart
- No
- Enumeration date
- May 10, 2007
- Last updated
- Jan 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
604 S 30th StHeath, OH 43056-1204
Phone 740-522-8444 · Fax 740-522-6493
Mailing address
604 S 30th StHeath, OH 43056-1204
Phone 740-522-8444 · Fax 740-522-6493
Authorized official
Craig S Wolf
Optometrist
7405228444
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