Organization
VISION CENTER LTD
Active
Other names
The Fairborn Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN W SHRODER (DOCTOR)
(937) 878-3941
Entity
Organization
Contact information
Practice address
1790 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6358
(937) 878-3941
Mailing address
1790 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311200
—
OH
05
—
0887849
—
OH
05
—
0898560
—
OH
05
—
2221956
—
OH
Enumeration date
11/01/2006
Last updated
05/29/2014
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