Organization
GUNNING AMES PTRS
Active
Other names
Family Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN N GUNNING II O.D. (OPTOMETRIST)
(740) 947-2945
Entity
Organization
Contact information
Practice address
218 E NORTH ST, WAVERLY, OH 45690-1148
(740) 947-2945
(740) 947-1458
Mailing address
218 E NORTH ST, WAVERLY, OH 45690-1148
(740) 947-2945
(740) 947-1458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029370
—
OH
01
—
21023
CVC
—
Enumeration date
02/23/2007
Last updated
07/24/2007
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