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Organization

OHIO VISION GROUP, INC.

Active
Parent organization
OHIO VISION GROUP, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
OHIO VISION GROUP, INC.
Authorized official
DR. JOSEPH P. LEISRING O.D. (VICE PRESIDENT)
(614) 871-2080
Entity
Organization

Contact information

Practice address
3814 BROADWAY, GROVE CITY, OH 43123-2234
(614) 871-2080
(614) 871-1301
Mailing address
3814 BROADWAY, GROVE CITY, OH 43123-2234
(614) 871-2080
(614) 871-1301

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3548
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410011217
RAILROAD MEDICARE
OH
Enumeration date
02/12/2008
Last updated
10/06/2009
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