Individual
DR. JAMES R CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1275 GLEN DR, MILLERSBURG, OH 44654-8958
(330) 674-6121
(330) 674-7409
Mailing address
1275 GLEN DR, MILLERSBURG, OH 44654-8958
(330) 674-6121
(330) 674-7409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3528 T388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468088
—
OH
01
—
34144150900
BWC
OH
Enumeration date
07/27/2005
Last updated
06/11/2008
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