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General NPI Number Information
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NPI Number | 1316905680
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Entity Type | Organization
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Legal Business Name | OHIO EYE SURGERY CENTER
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 155 E CIRCLE LN
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-7566
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Country | US
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Telephone | 740-477-7200
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Fax | 740-477-8349
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Provider Business Mailing Address
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Address Line | 50 N PLAZA BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1757
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Country | US
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Telephone | 844-974-4434
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Fax | 740-774-4061
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LINDSEY WIESMAN
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Credential |
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Telephone | 740-774-4434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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