NPI Code Details Logo

NPI 1215841440

NPI 1215841440 : MARION EYE CENTER INC : DELAWARE, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1215841440
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MARION EYE CENTER INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/02/2026
-----------------------------------------------------
    Last Update Date     |    10/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    241 PADDOCK CT 
-----------------------------------------------------
    City                 |    DELAWARE
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43015-1317
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    740-362-1100
-----------------------------------------------------
    Fax                  |    740-389-5410
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1462 MARION WALDO RD 
-----------------------------------------------------
    City                 |    MARION
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43302-7422
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    740-389-5418
-----------------------------------------------------
    Fax                  |    740-389-5410
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     STEVEN MICHAEL KIRKHAM 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    740-389-5418
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332H00000X
-----------------------------------------------------
    Taxonomy Name        |    Eyewear Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.