Organization
DONCH AND BAKER, O.D. EYE DOCTORS OF MADISON, LLC
Active
Organization
DONCH AND BAKER, O.D. EYE DOCTORS OF MADISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK J DONCH OD (OWNER)
(440) 428-2526
Entity
Organization
Contact information
Practice address
103 N LAKE ST, MADISON, OH 44057-3115
(440) 428-2526
(440) 428-2526
Mailing address
103 N LAKE ST, MADISON, OH 44057-3115
(440) 428-2526
(440) 428-2526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2257105
—
OH
01
—
OH2762
EYEMED
OH
Enumeration date
02/22/2008
Last updated
09/22/2009
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