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NPI Code Detail

MEDICARE: FAMILY FIRST VISION CARE, LLC

MEDICARE: FAMILY FIRST VISION CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristT3232OH

General Provider Information

NPI Number : 1427462183
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY FIRST VISION CARE, LLC
Provider Business Mailing Address
First Line : 3775 EASTON WAY
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6149
Country : US
Telephone Number : 614-944-9522
Fax Number :
Provider Business Practice Location Address
First Line : 1150 POLARIS PKWY
Second Line :
City : COLUMBUS
State : OH
Zip : 43240-2024
Country : US
Telephone Number : 614-847-3912
Fax Number :
Authorized Official
Title or Position : COO
Name : WILLIAM WILLIAMS
Credential :
Telephone Number : 904-545-4465
Provider Enumeration Date : 06/20/2014
Last Update Date : 02/12/2021

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Directions to “FAMILY FIRST VISION CARE, LLC ” Practice Location

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