Organization
DRS. MILBURN - MEDINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MICHAEL MILBURN O.D. (PRESIDENT)
(330) 725-4680
Entity
Organization
Contact information
Practice address
409 NORTH COURT ST, MEDINA, OH 44256
(330) 725-4680
(330) 725-2010
Mailing address
409 NORTH COURT ST, MEDINA, OH 44256
(330) 725-4680
(330) 725-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2980449
—
OH
Enumeration date
03/20/2007
Last updated
11/16/2016
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