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Organization

OPTOMETRIC MANAGEMENT GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON R MILLER OD (OWNER)
(614) 296-1175
Entity
Organization

Contact information

Practice address
1049 BETHEL RD, COLUMBUS, OH 43220-2609
(614) 326-1830
(614) 326-1832
Mailing address
2727 MALLARDS LANDING DR, POWELL, OH 43065-8617
(614) 296-1175
(614) 326-1832

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
06/16/2020
Last updated
09/16/2020
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