Organization
MELLETT VISION CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J GARCIA OPTICIAN (OWNER)
(330) 477-8531
Entity
Organization
Contact information
Practice address
2428 WHIPPLE AVE NW, CANTON, OH 44708-1514
(330) 477-8531
(330) 477-8541
Mailing address
2428 WHIPPLE AVE NW, CANTON, OH 44708-1514
(330) 477-8531
(330) 477-8541
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
495ASC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0623132
—
OH
Enumeration date
10/13/2006
Last updated
08/09/2007
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