Organization
NICK J DONCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK J DONCH OD (OWNER/OPTOMETRIST)
(440) 428-2526
Entity
Organization
Contact information
Practice address
103 N LAKE ST, MADISON, OH 44057-3115
(440) 428-2526
(440) 428-2526
Mailing address
103 N LAKE ST, MADISON, OH 44057-3115
(440) 428-2526
(440) 428-2526
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2762
OH
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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