Organization
VAN WERT VISION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A BIDLACK OD (OPTOMETRIST)
(419) 238-9244
Entity
Organization
Contact information
Practice address
1183 WESTWOOD DR, VAN WERT, OH 45891-2464
(419) 238-9244
(419) 238-4695
Mailing address
1183 WESTWOOD DR, VAN WERT, OH 45891-2464
(419) 238-9244
(419) 238-4695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3921/T1214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152WOOOOOX
TAXONOMY
OH
Enumeration date
07/11/2007
Last updated
02/07/2022
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