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Organization

EYE CLINIC OF WEST JEFFERSON, LLC

Active
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Organization

EYE CLINIC OF WEST JEFFERSON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT A FURGERSON O.D. (OWNER)
(614) 879-7239
Entity
Organization

Contact information

Practice address
94 W MAIN ST, WEST JEFFERSON, OH 43162-1229
(614) 879-7239
(614) 879-1001
Mailing address
94 W MAIN ST, WEST JEFFERSON, OH 43162-1229
(614) 879-7239
(614) 879-1001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5388
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2436322
OH
01
DD9476
MEDICARE RAILROAD
OH
Enumeration date
02/28/2007
Last updated
05/06/2024
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