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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