Organization
NEWARK VISION CARE LLC
Active
Organization
NEWARK VISION CARE LLC
Active
Other names
Trillium Vision Care of New Lexington, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS J RYEN OD (PRESIDENT/OWNDER)
(614) 893-8114
Entity
Organization
Contact information
Practice address
391 LINCOLN PARK DR, NEW LEXINGTON, OH 43764-1080
(740) 342-1784
(740) 342-1791
Mailing address
PO BOX 540, NEW LEXINGTON, OH 43764-0540
(740) 342-1784
(740) 342-1791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425236
—
OH
Enumeration date
11/10/2020
Last updated
12/04/2020
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