Organization
IRONTON VISION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE M MILLESON LDO (CFO)
(740) 532-2020
Entity
Organization
Contact information
Practice address
220 S 6TH ST, IRONTON, OH 45638-1623
(740) 532-2020
(740) 532-0176
Mailing address
PO BOX 643, IRONTON, OH 45638-0643
(740) 532-2020
(740) 532-0176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047887
—
OH
Enumeration date
02/06/2007
Last updated
10/29/2008
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