Organization
PRIMARY VISION CARE OF MOUNT VERNON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. HENRY O.D. (PRESIDENT/OWNER)
(740) 366-7341
Entity
Organization
Contact information
Practice address
1684 VENTURE DR, STE A, MOUNT VERNON, OH 43050-8950
(740) 393-6010
(740) 393-2320
Mailing address
926 N 21ST ST, NEWARK, OH 43055-2920
(740) 366-7341
(740) 366-5453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4713
OH
Other
Enumeration date
04/04/2017
Last updated
10/23/2017
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