Organization
ENVISION ICARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNETH M COLLINS O.D. (OPTOMETRIST)
(419) 484-8181
Entity
Organization
Contact information
Practice address
111 PROGRESS DR, BELLEVUE, OH 44811-9094
(419) 484-8181
(419) 484-1033
Mailing address
111 PROGRESS DR, BELLEVUE, OH 44811-9094
(419) 484-8181
(419) 484-1033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5239/T2143
OH
Other
Enumeration date
10/30/2008
Last updated
11/24/2010
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