Organization
HARBOURTOWN VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LANCE WIGHT O.D (OWNER)
(440) 967-2020
Entity
Organization
Contact information
Practice address
5491 LIBERTY AVE, VERMILION, OH 44089-1307
(440) 967-2020
(440) 967-3228
Mailing address
5491 LIBERTY AVE, VERMILION, OH 44089-1307
(440) 967-2020
(440) 967-3228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9448388
—
OH
Enumeration date
09/23/2009
Last updated
09/23/2009
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