Organization
SPARKS EYE CARE LLC
Active
Organization
SPARKS EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL SPARKS O.D. (SOLE MEMBER)
(614) 499-0450
Entity
Organization
Contact information
Practice address
3174 MACK RD, STE. #3, FAIRFIELD, OH 45014-5370
(513) 874-2000
(513) 672-9222
Mailing address
3174 MACK RD, STE. #3, FAIRFIELD, OH 45014-5370
(513) 874-2000
(513) 672-9222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6160
OH
Other
Enumeration date
06/06/2013
Last updated
06/21/2016
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