Organization
SOUTHERN VISION CENTER, INC.
Active
Organization
SOUTHERN VISION CENTER, INC.
Active
Parent organization
SOUTHERN VISION CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN VISION CENTER, INC.
Authorized official
MR. MICHAEL P GILILAND O.D. (OPTOMETRIST)
(614) 491-3435
Entity
Organization
Contact information
Practice address
105 GREAT SOUTHERN BLVD, COLUMBUS, OH 43207-4001
(614) 491-3435
(614) 491-1699
Mailing address
105 GREAT SOUTHERN BLVD, COLUMBUS, OH 43207-4001
(614) 491-3435
(614) 491-1699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120727
ANTHEM
OH
01
—
1184130001
DMERC
OH
01
—
2200190
UNITED HEALTHCARE
OH
01
—
281566897004
MEDICAL MUTUAL
OH
Enumeration date
08/30/2006
Last updated
12/07/2007
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