Organization
CAPITAL EYES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID TIMOTHY DUVENDACK O.D. (PRESIDENT)
(419) 346-3216
Entity
Organization
Contact information
Practice address
1355 S MCCORD RD, VISION CENTER, HOLLAND, OH 43528-9141
(419) 867-0544
(419) 867-0604
Mailing address
7131 OLD MILL RD, TOLEDO, OH 43615-3023
(419) 867-0544
(419) 867-0604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5026
OH
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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