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Organization

VISION SOURCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS M BOBST O.D. (PRESIDENT)
(440) 734-9920
Entity
Organization

Contact information

Practice address
23609 LORAIN RD, NORTH OLMSTED, OH 44070-2222
(440) 734-9920
(440) 734-2870
Mailing address
23609 LORAIN RD, NORTH OLMSTED, OH 44070-2222
(440) 734-9920
(440) 734-2870

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3651
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0507062
OH
Enumeration date
05/10/2007
Last updated
01/18/2013
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