Organization
PARTNERS OPTICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON ALVIE MOATS O.D. (PRESIDENT)
(330) 297-7733
Entity
Organization
Contact information
Practice address
159 E MAIN ST, RAVENNA, OH 44266-3128
(330) 297-7733
(330) 297-0170
Mailing address
159 E MAIN ST, RAVENNA, OH 44266-3128
(330) 297-7733
(330) 297-0170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3555 T1593
OH
261Q00000X
Clinic/Center
3555 T1593
OH
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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