Organization
OHIO STATE OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. EMIL HAGMAN (PRESIDENT)
(614) 888-3972
Entity
Organization
Contact information
Practice address
1325 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 888-3972
(614) 888-3709
Mailing address
1325 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 888-3972
(614) 888-3709
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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