Organization
DR. JOHNATHAN BEAUCHAMP AND ASSOCIATES, LLC
Active
Organization
DR. JOHNATHAN BEAUCHAMP AND ASSOCIATES, LLC
Active
Other names
Family Vision Care of Marion
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNATHAN LOWELL BEAUCHAMP OD (OPTOMETRIST)
(314) 517-2895
Entity
Organization
Contact information
Practice address
228 BARKS RD E, MARION, OH 43302-6426
(740) 389-2306
(740) 386-2859
Mailing address
624 SANDHILL CT, DELAWARE, OH 43015-3571
(314) 517-2895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119694
—
OH
Enumeration date
05/16/2018
Last updated
05/16/2018
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