Organization
COSHOCTON VISION CENTER, LLC
Active
Organization
COSHOCTON VISION CENTER, LLC
Active
Other names
Optics Plus Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W FORNARA O.D. (MEMBER)
(740) 622-1484
Entity
Organization
Contact information
Practice address
224 CHESTNUT STREET, COSHOCTON, OH 43812-1164
(740) 622-1484
(740) 622-1540
Mailing address
224 CHESTNUT STREET, COSHOCTON, OH 43812-1164
(740) 622-1484
(740) 622-1540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2873832
—
OH
Enumeration date
09/19/2006
Last updated
10/16/2019
Update your record
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