Organization
ENVISION TWENTY FIFTEEN, LLC
Active
Other names
Loni Dickerhoof, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONI RAE RITTENHOUSE OD (OWNER)
(330) 312-0497
Entity
Organization
Contact information
Practice address
4474 EVERHARD RD NW, CANTON, OH 44718-2418
(330) 312-0497
Mailing address
1195 GLENNVIEW ST NE, CANTON, OH 44721-1912
(330) 312-0497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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