Ideal Vision Llc

NPI 1104264431 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1104264431
Enumeration Date 06/09/2013
Last Updated 06/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name THERESA MARIE THERESA
Position MEMBER
Phone (330) 494-4445
Fax
Practice Location
4474 EVERHARD RD NW
CANTON OH, 44718-2418, US
Phone (330) 494-4445
Fax
Business Location
4474 EVERHARD RD NW
CANTON OH, 44718-2418, US
Phone (330) 494-4445
Fax
Toxanomy
Taxonomy Code 332H00000X
License State Ohio
License Number S 4032
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According to our database, Ideal Vision Llc NPI is 1104264431, taxonomy code is 332H00000X and license number is S 4032, license state is located at Ohio. Ideal Vision Llc physically located at 4474 Everhard Rd Nw, Canton OH, 44718-2418. NPI Number 1033115704 has the healthcare provider type.

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1104264431 NPI number is provided on an as is basis without warranty of any kind. 1104264431 is maintained by the National Plan & Provider Enumeration System. The contents of Ideal Vision Llc are for informational purposes only.