| Primesource Healthcare Of Ohio, Inc. | |
|
4449 Easton Way, Floor 2, Columbus, OH 43219-6093 | |
| (800) 317-0711 | |
| (847) 267-9440 |
| Full Name | Primesource Healthcare Of Ohio, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4449 Easton Way, Columbus, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255506713 | NPI | - | NPPES |
| 2758350 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Primesource Healthcare Of Ohio, Inc. 2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL 60089-1815 Ph: (847) 267-8200 | Primesource Healthcare Of Ohio, Inc. 4449 Easton Way, Floor 2, Columbus, OH 43219-6093 Ph: (800) 317-0711 |
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