Organization
MID OHIO EYE OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE Z KIM M.D. (DIRECTOR/OWNER)
(614) 861-0448
Entity
Organization
Contact information
Practice address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 861-0448
(614) 861-7717
Mailing address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 861-0448
(614) 861-7717
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
35038852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0778592
—
OH
Enumeration date
09/13/2010
Last updated
09/13/2010
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