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Organization

CLOVERNOOK CENTER FOR THE BLIND AND VISUALLY IMPAIRED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROBIN LESLIE USALIS (VICE PRESIDENT OF PROGRAM SERVICES)
(513) 522-3860
Entity
Organization

Contact information

Practice address
368 BIELBY RD., SUITE #120, LAWRENCEBURG, IN 47025-1199
(812) 537-0417
Mailing address
7000 HAMILTON AVE., CINCINNATI, OH 45231-5297
(513) 522-3860
(513) 728-3946

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
35027971
OH

Other

Enumeration date
10/31/2006
Last updated
08/22/2020
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