Organization
PORTSMOUTH VISION CENTER, LTD
Active
Organization
PORTSMOUTH VISION CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W RAIES OD (OWNER)
(740) 354-2821
Entity
Organization
Contact information
Practice address
1915 SCIOTO TRAIL, PORTSMOUTH, OH 45662
(740) 354-2821
(740) 354-6162
Mailing address
1915 SCIOTO TRAIL, PORTSMOUTH, OH 45662
(740) 354-2821
(740) 354-6162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/04/2007
Last updated
01/11/2012
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