Organization
WAYNESBURG VISION CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADEN E KAIL O.D. (CEO)
(330) 866-7732
Entity
Organization
Contact information
Practice address
8163 WAYNESBURG DR. SE, WAYNESBURG, OH 44688
(330) 866-7732
(330) 866-4069
Mailing address
PO BOX 447, WAYNESBURG, OH 44688-0447
(330) 866-7732
(330) 866-4069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302505
—
OH
Enumeration date
12/03/2007
Last updated
12/02/2008
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