Organization
MOUNT VERNON EYE CARE
Active
Organization
MOUNT VERNON EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XUAN T. PHAM O.D. (OPTOMETRIST)
(602) 206-1580
Entity
Organization
Contact information
Practice address
1558 COSHOCTON AVE, MOUNT VERNON, OH 43050-5416
(740) 392-1456
Mailing address
6899 LAKEBROOK BLVD, COLUMBUS, OH 43235-2724
(602) 206-1580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5970
OH
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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