Organization
JOHN M PRICE OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M. PRICE O.D. (OWNER)
(937) 592-9966
Entity
Organization
Contact information
Practice address
315 EAST COLUMBUS AVE, BELLEFONTAINE, OH 43311-2001
(937) 592-9966
(937) 592-4060
Mailing address
315 EAST COLUMBUS AVE, BELLEFONTAINE, OH 43311-2001
(937) 592-9966
(937) 592-4060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5062 T1939
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2128978
—
OH
Enumeration date
10/22/2007
Last updated
06/10/2010
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