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Individual

JAMES WILLIAM MERSHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
402 CUMBERLAND ST, CALDWELL VISION CENTRE, CALDWELL, OH 43724-1234
(740) 732-4620
(740) 732-7179
Mailing address
402 CUMBERLAND ST, CALDWELL, OH 43724
(740) 732-4620
(740) 732-7179

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3554T948
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0464162
OH
01
0529025
MEDICARE PTAN
OH
Enumeration date
10/16/2006
Last updated
05/23/2011
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