Organization
SPRINGFIELD EYE GROUP LLC
Active
Other names
NEW IMAGE EYE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ELIZABETH ROGERS (ADMINISTRATOR)
(937) 399-4101
Entity
Organization
Contact information
Practice address
1674 NORTH LIMESTONE ST, SPRINGFIELD, OH 45503
(937) 399-4101
(937) 399-2346
Mailing address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 399-4101
(937) 399-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4831
OH
152WC0802X
Corneal and Contact Management Optometrist
4831
OH
152WV0400X
Vision Therapy Optometrist
4831
OH
152WX0102X
Occupational Vision Optometrist
4831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2830771
—
OH
Enumeration date
04/01/2008
Last updated
01/08/2014
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