Ohio Retina Associates, Inc.

NPI #1093739682 in Canton, Ohio

Provider Information

NPI Number: 1093739682
Entity Type: Organization
Organization Name: Ohio Retina Associates, Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Jul 27, 2006
Last Updated: Nov 1, 2007

Practice Location

Address: 4690 MUNSON ST NW
City: Canton
State: Ohio
ZIP Code: 44718-3636
Phone: (330) 966-9800

Authorized Official

Name: MS. LISA VAUGHN
Title: PRACTICE ADMINISTRATOR
Phone: (330) 966-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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