Organization
ALLIED VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ROBERT COHEN (PRESIDENT)
(330) 626-2029
Entity
Organization
Contact information
Practice address
9088 SUPERIOR AVE, STREETSBORO, OH 44241-5699
(330) 626-2029
(330) 626-5955
Mailing address
PO BOX 2555, STREETSBORO, OH 44241-0555
(330) 626-2029
(330) 626-5955
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
888
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155595
AETNA
OH
05
—
0092653
—
OH
Enumeration date
10/23/2006
Last updated
05/20/2008
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