Organization
KIM VAN LTD.
Active
Other names
Van Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLEY VANTUINEN OPTICIAN (OWNER)
(419) 841-8550
Entity
Organization
Contact information
Practice address
5307 MONROE ST., TOLEDO, OH 43623-2888
(419) 841-8550
(419) 843-7342
Mailing address
5307 MONROE ST., TOLEDO, OH 43623-2888
(419) 841-8550
(419) 843-7342
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC5133
OH
Other
Enumeration date
01/10/2008
Last updated
12/08/2008
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