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Organization

MIDDLETOWN EYECARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN R BJORK O.D. (PRESIDENT)
(513) 424-0339
Entity
Organization

Contact information

Practice address
315 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 424-0339
(513) 424-4910
Mailing address
315 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 424-0339
(513) 424-4910

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000270784
ANTHEM BC/BS GROUP
OH
05
2374425
OH
Enumeration date
07/30/2006
Last updated
03/23/2010
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