Eye Site, L.l.c.

NPI #1780806067 in Millersport, Ohio

Provider Information

NPI Number: 1780806067
Entity Type: Organization
Organization Name: Eye Site, L.l.c.
Subpart: Yes (part of a larger organization)
Parent Organization: THE EYE SITE, LLC
Primary Specialty: Optometrist
Enumeration Date: May 3, 2007
Last Updated: Dec 19, 2011

Practice Location

Address: 12464 LANCASTER ST
City: Millersport
State: Ohio
ZIP Code: 43046-9787
Phone: (740) 467-2525

Authorized Official

Name: DR. BRETT ALAN DIETZ, O.D.
Title: OWNER
Phone: (740) 467-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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