Healthcare Provider Details
I. General information
NPI: 1215841440
Provider Name (Legal Business Name): MARION EYE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
241 PADDOCK CT
DELAWARE OH
43015-1317
US
IV. Provider business mailing address
1462 MARION WALDO RD
MARION OH
43302-7422
US
V. Phone/Fax
- Phone: 740-362-1100
- Fax: 740-389-5410
- Phone: 740-389-5418
- Fax: 740-389-5410
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
STEVEN
MICHAEL
KIRKHAM
Title or Position: PRESIDENT
Credential: MD
Phone: 740-389-5418