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Organization

NORTHWEST OPHTHALMOLOGY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN GRANT KEGLER M.D. (PRESIDENT)
(614) 777-3937
Entity
Organization

Contact information

Practice address
3535 FISHINGER BLVD, SUITE 230, HILLIARD, OH 43026-7504
(614) 777-3937
(614) 777-4190
Mailing address
PO BOX 21150, COLUMBUS, OH 43221-0150

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
08/21/2007
Last updated
12/10/2007
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