Organization
PORTAGE VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L JONES OD (OWNER)
(330) 296-0100
Entity
Organization
Contact information
Practice address
950 E MAIN ST, RAVENNA, OH 44266-3326
(330) 296-0100
(330) 296-0105
Mailing address
950 E MAIN ST, PO BOX 1021, RAVENNA, OH 44266-3326
(330) 296-0100
(330) 296-0105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4291T63
OH
Other
Enumeration date
08/15/2007
Last updated
12/05/2007
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