Organization
LOUDONVILLE FAMILY VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J PFLUEGER OD (PRES)
(419) 994-3071
Entity
Organization
Contact information
Practice address
631 N UNION ST, LOUDONVILLE, OH 44842
(419) 994-3071
(419) 994-4422
Mailing address
631 N UNION ST, LOUDONVILLE, OH 44842
(419) 994-3071
(419) 994-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410014680
RAILROAD MEDICARE
OH
05
—
879296
—
OH
Enumeration date
07/26/2006
Last updated
04/28/2008
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