Provider Demographics
NPI:1598845760
Name:MISISON OF SIGHT INC
Entity Type:Organization
Organization Name:MISISON OF SIGHT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCCLOY
Authorized Official - Suffix:II
Authorized Official - Credentials:OD
Authorized Official - Phone:740-387-6633
Mailing Address - Street 1:256 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-3933
Mailing Address - Country:US
Mailing Address - Phone:740-387-6633
Mailing Address - Fax:740-387-7443
Practice Address - Street 1:256 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-3933
Practice Address - Country:US
Practice Address - Phone:740-387-6633
Practice Address - Fax:740-387-7443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center