Organization
ROHOLT VISION INSTITITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BONTRAGER (ADMINISTRATOR)
(330) 305-2200
Entity
Organization
Contact information
Practice address
1207 W STATE ST, ALLIANCE, OH 44601-4686
(330) 823-2311
Mailing address
5890 MAYFAIR RD, CANTON, OH 44720-1547
(330) 305-2200
(330) 305-2210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285263
—
OH
Enumeration date
06/18/2006
Last updated
11/04/2011
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