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Organization

FAMILY VISION CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH L. CONSBRUCK O.D. (OPTOMETRIST)
(215) 378-4181
Entity
Organization

Contact information

Practice address
11564 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3527
(215) 378-4181
(513) 671-3728
Mailing address
10309 STABLEHAND DR, CINCINNATI, OH 45242-4642
(215) 378-4181

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6025/T2940
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12340066
CAQH
OH
Enumeration date
08/22/2012
Last updated
08/22/2012
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