Organization
RED BANK EYE ASSOCIATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS POWERS O.D. (PRESIDENT)
(513) 351-9768
Entity
Organization
Contact information
Practice address
4000 RED BANK RD, @WAL-MART VISION CENTER, CINCINNATI, OH 45227-3416
(513) 351-9768
(513) 351-9809
Mailing address
4060 WATERFORD WAY, CINCINNATI, OH 45245-1956
(513) 753-0953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4165
OH
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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