Organization
EASTGATE FAMILY VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN BAYLES OD (SOLE MEMBER)
(740) 751-5729
Entity
Organization
Contact information
Practice address
867 EASTGATE NORTH DR, CINCINNATI, OH 45245-1791
(513) 752-4038
Mailing address
867 EASTGATE NORTH DR, CINCINNATI, OH 45245-1791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5920
OH
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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