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NPI Code Detail

MEDICARE: GROVE CITY VISION CENTER

MEDICARE: GROVE CITY VISION CENTER
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
1152W00000XOptometrist2928/T981OH

General Provider Information

NPI Number : 1538399977
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROVE CITY VISION CENTER
Provider Business Mailing Address
First Line : 3959 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2839
Country : US
Telephone Number : 614-875-8373
Fax Number : 614-875-0974
Provider Business Practice Location Address
First Line : 3959 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2839
Country : US
Telephone Number : 614-875-8373
Fax Number : 614-875-0974
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JOHN W ZAHARA
Credential :
Telephone Number : 614-875-8373
Provider Enumeration Date : 07/20/2009
Last Update Date : 07/20/2009

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Directions to “GROVE CITY VISION CENTER ” Practice Location

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