Prospect Vision Care INC

NPI #1881852804 in Prospect, Ohio

Provider Information

NPI Number: 1881852804
Entity Type: Organization
Organization Name: Prospect Vision Care INC
Primary Specialty: Optometrist
Enumeration Date: May 27, 2008
Last Updated: Jul 27, 2009

Practice Location

Address: 100 E WATER ST
City: Prospect
State: Ohio
ZIP Code: 43342-0034
Phone: (740) 494-2999

Authorized Official

Name: DR. VIRGINIA CHETVERIKOV, O.D.
Title: OWNER
Phone: (740) 494-2999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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