Organization
INNOVATIVE OPTICS,INC
Active
Other names
Dr.McCullough's Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L MCCULLOUGH OD (OWNER/DOCTOR)
(740) 623-0110
Entity
Organization
Contact information
Practice address
618 S 2ND ST, COSHOCTON, OH 43812-1909
(740) 623-0110
(740) 623-0318
Mailing address
618 S 2ND ST, COSHOCTON, OH 43812-1909
(740) 623-0110
(740) 623-0318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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