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Organization

GUNNING AMES PTRS

Active
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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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