Organization
COA ASC OF FRANKLIN COUNTY LLC
Active
Other names
Columbus Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
5965 E BROAD ST, SUITE 460, COLUMBUS, OH 43213-1562
(614) 751-4080
(614) 751-4092
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0010AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208628
ANTHEM
OH
05
—
0335186
—
OH
01
—
490002923
RAILROAD MEDICARE
OH
Enumeration date
07/12/2005
Last updated
11/23/2022
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