# MIDWEST RETINA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417131558
- **Authorized official:** MS. TONI L TURK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (614) 233-9500

## Contact information

- **Practice address:** 500 E MAIN ST STE 300, COLUMBUS, OH 43215-5369
- **Practice address phone:** (614) 233-9500
- **Practice address fax:** (614) 233-9501
- **Mailing address:** 500 E MAIN ST STE 300, COLUMBUS, OH 43215-5369
- **Mailing address phone:** (614) 233-9500
- **Mailing address fax:** (614) 233-9501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | OH35067637 | OH | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 12/26/2007