Organization
PRIMARY VISION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D HENRY OD (PRESIDENT)
(740) 366-7341
Entity
Organization
Contact information
Practice address
926 N 21ST ST, NEWARK, OH 43055-2920
(740) 366-7341
(740) 366-5453
Mailing address
926 N 21ST STREET, NEWARK, OH 43055
(740) 366-7341
(740) 366-5453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0581857
—
OH
Enumeration date
08/08/2006
Last updated
03/05/2008
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