Organization
BARNESVILLE VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA S LEACH (OWNER)
(740) 425-7000
Entity
Organization
Contact information
Practice address
177 E MAIN ST, BARNESVILLE, OH 43713-1080
(740) 425-7000
Mailing address
177 E MAIN ST, BARNESVILLE, OH 43713-1080
(740) 425-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2814495
—
OH
Enumeration date
12/07/2007
Last updated
04/08/2020
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