Organization
EYE SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SCHULTZ OD (CENTER DIRECTOR)
(866) 587-8790
Entity
Organization
Contact information
Practice address
721 WEST MAIN STREET, WILMINGTON, OH 45177-2126
(937) 382-7724
(937) 382-7726
Mailing address
50 N PLAZA BLVD, CHILLICOTHE, OH 45601-1757
(866) 587-8790
(740) 774-4061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387199
—
OH
Enumeration date
05/06/2006
Last updated
09/15/2014
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