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NPI Code Detail

MEDICARE: MRS. JANNA L. VARGO O.D.

MEDICARE: MRS. JANNA L. VARGO O.D.
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
1152W00000XOptometristOPT.5825-THEROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871758292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANNA L. VARGO O.D.
Provider Business Mailing Address
First Line : 3433 AGLER ROAD
Second Line : SUITE 2300 - BILLING DEPT.
City : COLUMBUS
State : OH
Zip : 43219-3389
Country : US
Telephone Number : 614-859-1939
Fax Number : 614-458-1849
Provider Business Practice Location Address
First Line : 2300 W BROAD ST
Second Line : 2ND FLOOR WESTSIDE HEALTH CENTER VISION
City : COLUMBUS
State : OH
Zip : 43204-3783
Country : US
Telephone Number : 614-859-1820
Fax Number : 614-458-1192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2008
Last Update Date : 04/13/2016

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