# ROHOLT VISION INSTITUTE INC

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

## Provider details

- **NPI number:** 1609818244
- **Authorized official:** DIANE BONTRAGER (ADMINISTRATOR)
- **Authorized official phone:** (330) 305-2200

## Contact information

- **Practice address:** 5890 MAYFAIR RD, CANTON, OH 44720-1547
- **Practice address phone:** (330) 305-2200
- **Practice address fax:** (330) 305-2210
- **Mailing address:** 5890 MAYFAIR RD, CANTON, OH 44720-1547
- **Mailing address phone:** (330) 305-2200
- **Mailing address fax:** (330) 305-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 11/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2285192 | — | OH |