Organization
GRANVILLE VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA TYLER OD (OWNER)
(614) 361-0954
Entity
Organization
Contact information
Practice address
205 1/2 S PROSPECT ST, GRANVILLE, OH 43023-1423
(614) 361-0954
Mailing address
1876 WESTWOOD AVE, COLUMBUS, OH 43212-1133
(614) 361-0954
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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