J. Edgar Evans O.d., Inc.

NPI #1689931784 in Wellston, Ohio

Provider Information

NPI Number: 1689931784
Entity Type: Organization
Organization Name: J. Edgar Evans O.d., Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: J. EDGAR EVANS O.D., INC.
Primary Specialty: Optometrist
Enumeration Date: Apr 13, 2012
Last Updated: Apr 13, 2012

Practice Location

Address: 11 S PENNSYLVANIA AVE
City: Wellston
State: Ohio
ZIP Code: 45692-1255
Phone: (740) 384-2015

Authorized Official

Name: MRS. SHIRLENE SHERWOOD
Title: OFFICE MANAGER
Phone: (740) 384-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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