Organization
MY VISION MIDDLEFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN KILGORE (BILLING MANAGER)
(330) 527-4852
Entity
Organization
Contact information
Practice address
15005 S SPRINGDALE AVE UNIT 6, MIDDLEFIELD, OH 44062-7226
(330) 527-4852
Mailing address
1 MEMORY LN STE 200, GARRETTSVILLE, OH 44231-9443
(330) 527-4852
(330) 527-4866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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