Mary E Rex
Organization Active NPI Optician · Caldwell, OH
NPI 1790935484 · NPPES record last updated Jan 28, 2015
Key facts
- NPI
- 1790935484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 3891SC (OH)
- Legal business name
- MARY E REX
- Practice address
- 402 Cumberland St
Caldwell, OH 43724-1234 - Phone
- (740) 732-4620
- Fax
- (740) 732-7179
- NPI assigned
- Sep 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Mary E Rex
- Title
- Owner
- Phone
- (740) 732-4620
Practitioners 2
National Provider Directory
Locations
402 Cumberland St
Caldwell, OH 43724
Phone (740) 732-4320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 3891SC | OH | Yes |
Addresses
Primary practice location
402 Cumberland St
Caldwell, OH 43724-1234
Mailing address
402 Cumberland St
Caldwell, OH 43724-1234
Phone (740) 732-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0735404 | Medicaid | OH |
Other names
- Caldwell Vision Centre
Other providers in Caldwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.