Organization
KENTON VISION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN L WARNER O.D. (PRESIDENT)
(419) 673-0492
Entity
Organization
Contact information
Practice address
110 N HIGH ST, KENTON, OH 43326-1549
(419) 673-0492
Mailing address
PO BOX 635, KENTON, OH 43326-0635
(419) 673-0492
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA8949
RAILROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
03/20/2009
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