Organization
BRODIE AND WARGO VISON AND SENSORY THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BRODIE (OWNER)
(419) 367-9959
Entity
Organization
Contact information
Practice address
840 W BOUNDARY ST STE 3, PERRYSBURG, OH 43551-1702
(419) 215-8428
Mailing address
840 W BOUNDARY ST STE 3, PERRYSBURG, OH 43551-1702
(419) 215-8428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
11/25/2020
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