Wizard of Eyes, INC

NPI #1386057941 in Powell, Ohio

Provider Information

NPI Number: 1386057941
Entity Type: Organization
Organization Name: Wizard of Eyes, INC
Primary Specialty: Optometrist
Enumeration Date: Jun 11, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 9878 BREWSTER LN
Address 2: BOX 108
City: Powell
State: Ohio
ZIP Code: 43065-7980
Phone: (614) 619-7973

Authorized Official

Name: DR. MARK DESMON ROUDEBUSH, OD
Title: PRESIDENT
Phone: (614) 619-7973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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