Conway, James R

Conway, James R is an individual health care provider with primary practice located at 1275 Glen Dr , Millersburg OH 44654-8958. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Conway, James R can be contacted via phone (330) 674-6121.

Contact Information

Primary practice address
1275 Glen Dr Millersburg OH 44654-8958
Phone: (330) 674-6121
Fax: (330) 674-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3528 T388 Ohio

Profile Details

NPI number 1891795365
LBN Legal business name Conway, James R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jun 11th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891795365 NPPES
Ohio Other 34144150900 BWC
Ohio MEDICAID 0468088 BWC

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