Organization
VISION SERVICE CORPORATION
Active
Other names
EYE MART
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT TAYLOR O.D. (OWNER)
(812) 475-0035
Entity
Organization
Contact information
Practice address
3464 PENTAGON PRK BLVD, BEAVERCREEK, OH 45431-1790
(937) 429-4060
(937) 429-9675
Mailing address
4810 TECUMSEH LN, EVANSVILLE, IN 47715-3220
(812) 475-0035
(812) 477-4537
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4807T1649
OH
Other
Enumeration date
09/26/2007
Last updated
07/31/2012
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