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Organization

MY OPTIX INC

Active
Other names
Geauga Vision
Organization subpart
No

Provider details

NPI number
Authorized official
MS. COURTNEY MUNN LICENSED OPTICIAN (COO)
(440) 632-1695
Entity
Organization

Contact information

Practice address
14894 N STATE AVE, MIDDLEFIELD, OH 44062-9724
(440) 632-1695
(440) 368-0343
Mailing address
14894 N STATE AVE, MIDDLEFIELD, OH 44062-9724
(440) 632-1695
(440) 368-0343

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary
3884-SC
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140252
OH
05
2557148
OH
Enumeration date
03/14/2007
Last updated
04/17/2024
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