Organization
ENVISION EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA MARIE FOX O.D. (OWNER)
(419) 562-0057
Entity
Organization
Contact information
Practice address
236 S SANDUSKY AVE, BUCYRUS, OH 44820-2221
(419) 562-0057
(419) 562-0073
Mailing address
236 S SANDUSKY AVE, BUCYRUS, OH 44820-2221
(419) 562-0057
(419) 562-0073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5307
OH
332BC3200X
Customized Equipment (DME)
6421770001
OH
Other
Enumeration date
12/21/2007
Last updated
10/19/2011
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