Optometric Management Group LLC

NPI #1083369557 in Columbus, Ohio

Provider Information

NPI Number: 1083369557
Entity Type: Organization
Organization Name: Optometric Management Group LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 14, 2022
Last Updated: Feb 14, 2022

Practice Location

Address: 1049 BETHEL RD
City: Columbus
State: Ohio
ZIP Code: 43220-2609
Phone: (614) 326-1830

Authorized Official

Name: DR. TIMOTHY D. FRIES, OD, MBA, MPH
Title: CHIEF VISIONARY OFFICER
Phone: (614) 517-9721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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