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Organization

MARY E REX

Active
Other names
Caldwell Vision Centre
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E REX (OWNER)
(740) 732-4620
Entity
Organization

Contact information

Practice address
402 CUMBERLAND ST, CALDWELL, OH 43724-1234
(740) 732-4620
(740) 732-7179
Mailing address
402 CUMBERLAND ST, CALDWELL, OH 43724-1234
(740) 732-4620
(740) 732-7179

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3891SC
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0735404
OH
Enumeration date
09/30/2008
Last updated
01/28/2015
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