Organization
REYNOLDSBURG VISION ASSOCIATES INC
Active
Other names
EYECARE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA JEAN WILSON (SECRETARY/TREASURER)
(614) 861-0950
Entity
Organization
Contact information
Practice address
7721 E MAIN ST, REYNOLDSBURG, OH 43068-1211
(614) 861-0950
(614) 861-5665
Mailing address
7721 E MAIN ST, REYNOLDSBURG, OH 43068-1211
(614) 861-0950
(614) 861-5665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3318 AND 4542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630130001
MEDICARE B DME MAC
OH
Enumeration date
11/20/2007
Last updated
12/04/2007
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