Organization
SPROUT VISION CENTER LLC
Active
Organization
SPROUT VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY SPROUT OD (OPTOMETRIST)
(740) 374-3937
Entity
Organization
Contact information
Practice address
316 2ND ST, MARIETTA, OH 45750-2919
(740) 374-3937
Mailing address
316 2ND ST, MARIETTA, OH 45750-2919
(740) 374-3937
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5542
OH
Other
Enumeration date
12/10/2013
Last updated
01/09/2014
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