Organization
JAMES L EDICK OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LAURENCE EDICK OD (OPTOMETRIST)
(614) 430-8964
Entity
Organization
Contact information
Practice address
6116 BOARDWALK ST, COLUMBUS, OH 43229
(614) 430-8964
(614) 430-8965
Mailing address
6116 BOARDWALK ST, COLUMBUS, OH 43229
(614) 430-8964
(614) 430-8965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3795
OH
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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