Innovative Optics,inc

NPI #1730323320 in Coshocton, Ohio

Provider Information

NPI Number: 1730323320
Entity Type: Organization
Organization Name: Innovative Optics,inc
Primary Specialty: Optometrist
Enumeration Date: Apr 27, 2009
Last Updated: Apr 27, 2009

Practice Location

Address: 618 S 2ND ST
City: Coshocton
State: Ohio
ZIP Code: 43812-1909
Phone: (740) 623-0110

Authorized Official

Name: DR. RICHARD L MCCULLOUGH, OD
Title: OWNER/DOCTOR
Phone: (740) 623-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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