Organization
EYE SITE, L.L.C.
Active
Other names
The Eye Site
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT ALAN DIETZ O.D. (OWNER)
(740) 587-4970
Entity
Organization
Contact information
Practice address
114 N GALWAY DR, GRANVILLE, OH 43023-9572
(740) 587-4970
(740) 587-4863
Mailing address
114 N GALWAY DR, GRANVILLE, OH 43023-9572
(740) 587-4970
(740) 587-4863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294346
—
OH
05
—
2235414
—
OH
Enumeration date
05/01/2007
Last updated
12/19/2011
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