Organization
ROHOLT VISION INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BONTRAGER (ADMINISTRATOR)
(330) 305-2200
Entity
Organization
Contact information
Practice address
1039 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4228
(330) 965-6410
Mailing address
5890 MAYFAIR RD, CANTON, OH 44720-1547
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285254
—
OH
Enumeration date
06/19/2006
Last updated
08/22/2020
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