Organization
NORTH STAR VISION CENTER AT SCHROCK, INC.
Active
Organization
NORTH STAR VISION CENTER AT SCHROCK, INC.
Active
Parent organization
NORTH STAR VISION CENTER AT SCHROCK, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH STAR VISION CENTER AT SCHROCK, INC.
Authorized official
MR. MICHAEL P GILLILAND O.D. (OPTOMETRIST)
(614) 882-2223
Entity
Organization
Contact information
Practice address
1680 SCHROCK RD, COLUMBUS, OH 43229-1574
(614) 882-2223
(614) 891-8415
Mailing address
1680 SCHROCK RD, COLUMBUS, OH 43229-1574
(614) 882-2223
(614) 891-8415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000019111
ANTHEM
OH
01
—
2200189
UNITED HEALTHCARE
OH
01
—
281566897003
MEDICAL MUTUAL
OH
Enumeration date
09/07/2006
Last updated
12/07/2007
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