Powell Vision Clinic, LLC

NPI #1861938524 in Oregon, Ohio

Provider Information

NPI Number: 1861938524
Entity Type: Organization
Organization Name: Powell Vision Clinic, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 18, 2017
Last Updated: Mar 28, 2017

Practice Location

Address: 3975 NAVARRE AVE
City: Oregon
State: Ohio
ZIP Code: 43616-3437
Phone: (419) 698-4949

Authorized Official

Name: DR. BLAKE GORDON POWELL, O.D.
Title: OWNER/OPTOMETRIST
Phone: (419) 698-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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