Organization
OPTOMETRIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON CORNELL MASON O.D. (OWNER)
(740) 385-4017
Entity
Organization
Contact information
Practice address
498 W HUNTER ST, LOGAN, OH 43138-1105
(740) 385-4017
(740) 385-7666
Mailing address
498 W HUNTER ST, LOGAN, OH 43138-1105
(740) 385-4017
(740) 385-7666
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
3079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322976
—
OH
Enumeration date
05/01/2007
Last updated
03/11/2008
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