Professional Vision Services LLC

NPI #1528289659 in Defiance, Ohio

Provider Information

NPI Number: 1528289659
Entity Type: Organization
Organization Name: Professional Vision Services LLC
Primary Specialty: Optometrist
Enumeration Date: May 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 101 CLINTON ST STE 1000
City: Defiance
State: Ohio
ZIP Code: 43512-2165
Phone: (419) 782-4831

Authorized Official

Name: JEFFREY C FOGT, OD
Title: OWNER
Phone: (419) 782-4831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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