| |
95 W Dave Longaberger Ave, Dresden, OH 43821-9687 | |
(740) 754-3800 | |
(740) 754-2050 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 95 W Dave Longaberger Ave, Dresden, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801104260 | NPI | - | NPPES |
0099076 | Medicaid | OH | |
2873832 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5622 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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95 W Dave Longaberger Ave, Dresden, OH 43821-9687 Ph: (740) 754-3800 | 95 W Dave Longaberger Ave, Dresden, OH 43821-9687 Ph: (740) 754-3800 |