Individual
MARK WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
703 W COSHOCTON ST, JOHNSTOWN, OH 43031-9581
(740) 967-2936
(740) 967-1153
Mailing address
703 W COSHOCTON ST, JOHNSTOWN, OH 43031-9581
(740) 967-2936
(740) 967-1153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3507-T1016
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432955
—
OH
Enumeration date
03/21/2007
Last updated
01/30/2008
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