Organization
KNOX COUNTY VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LAURENCE EDICK O.D. (OPTOMETRIST)
(740) 397-3355
Entity
Organization
Contact information
Practice address
5 W HIGH ST, MOUNT VERNON, OH 43050-3282
(740) 397-3355
(740) 397-2843
Mailing address
5 W HIGH ST, MOUNT VERNON, OH 43050-3282
(740) 397-3355
(740) 397-2843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0850431
—
OH
Enumeration date
05/29/2008
Last updated
08/15/2013
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