Organization
OHIO STATE UNIVERSITY
Active
Other names
The Ohio State University College of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J NIXON OD, FAAO (ASSOCIATE DEAN OF CLINIC SERVICES)
(614) 292-5367
Entity
Organization
Contact information
Practice address
1664 NEIL AVE, COLUMBUS, OH 43201-2333
(614) 292-2020
(614) 247-4543
Mailing address
1664 NEIL AVE, COLUMBUS, OH 43201-2333
(614) 292-2020
(614) 247-4543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007816
—
WV
05
—
6543600
—
OH
Enumeration date
07/25/2006
Last updated
12/10/2020
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