Southern Vision Center, Inc.

NPI #1821108192 in Columbus, Ohio

Provider Information

NPI Number: 1821108192
Entity Type: Organization
Organization Name: Southern Vision Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN VISION CENTER, INC.
Primary Specialty: Optometrist
Enumeration Date: Aug 30, 2006
Last Updated: Dec 7, 2007

Practice Location

Address: 105 GREAT SOUTHERN BLVD
City: Columbus
State: Ohio
ZIP Code: 43207-4001
Phone: (614) 491-3435

Authorized Official

Name: MR. MICHAEL P GILILAND, O.D.
Title: OPTOMETRIST
Phone: (614) 491-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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