Organization
EDWARD C. BEITER, O.D.
Active
Organization
EDWARD C. BEITER, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD C BEITER O.D. (OWNER)
(740) 288-2718
Entity
Organization
Contact information
Practice address
100 WALMART DR, VISION CENTER, JACKSON, OH 45640-8692
(740) 288-2718
(740) 288-2720
Mailing address
11420 STATE ROUTE 776, JACKSON, OH 45640-8907
(740) 286-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3054-352
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280235
—
OH
01
—
1871502013
INDIVIDUAL NPI #
OH
Enumeration date
01/16/2007
Last updated
05/08/2008
Update your record
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