Organization
VALLEY EYE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE STARK (OWNER)
(937) 492-3755
Entity
Organization
Contact information
Practice address
1118 FAIRINGTON DR, SIDNEY, OH 45365-8913
(937) 492-3755
(937) 492-1132
Mailing address
1118 FAIRINGTON DR, SIDNEY, OH 45365-8913
(937) 492-3755
(937) 492-1132
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344234
—
OH
Enumeration date
06/23/2006
Last updated
07/22/2013
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