| Sprout Vision Center Llc | |
|
316 2nd St Marietta OH 45750-2919 | |
| (740) 374-3937 | |
| Not Available |
| Full Name | Sprout Vision Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 2nd St, Marietta, Ohio |
| Authorized Official Name and Position | Holly Sprout (OPTOMETRIST) |
| Authorized Official Contact | 7403743937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Vision Center Llc 316 2nd St Marietta OH 45750-2919 Ph: (740) 374-3937 | Sprout Vision Center Llc 316 2nd St Marietta OH 45750-2919 Ph: (740) 374-3937 |
| NPI Number | 1972934339 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 01/09/2014 |
| Medicare PECOS PAC ID | 9032348297 |
|---|---|
| Medicare Enrollment ID | O20140210001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972934339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5542 (Ohio) | Primary |
| Provider Name | Holly Sprout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316966823 PECOS PAC ID: 9830294503 Enrollment ID: I20090529000255 |
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