Provider Demographics
NPI:1689041477
Name:POSITIONAL ADVANTAGE CORPORATION
Entity Type:Organization
Organization Name:POSITIONAL ADVANTAGE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-228-3800
Mailing Address - Street 1:121 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1905
Mailing Address - Country:US
Mailing Address - Phone:419-569-4790
Mailing Address - Fax:
Practice Address - Street 1:29 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1039
Practice Address - Country:US
Practice Address - Phone:419-228-3800
Practice Address - Fax:419-222-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6134152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty