Organization
MARIETTA OPHTHALMOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA FAYE JONES MD (PRESIDENT)
(740) 373-8046
Entity
Organization
Contact information
Practice address
210 N SEVENTH ST, SUITE 200, MARIETTA, OH 45750-2244
(740) 373-8046
(740) 373-0182
Mailing address
210 N 7TH ST, SUITE 200, MARIETTA, OH 45750-2244
(740) 373-8046
(740) 373-0182
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55641
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095420000
—
WV
05
—
0672106
—
OH
Enumeration date
08/15/2005
Last updated
05/03/2011
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