Organization · NPI-2

4247bifocal LLC

Optometrist · Dublin, OH

NPI number1154648103
StatusActive
Last updated in NPPESMay 6, 2010

Details

NPI
1154648103
Entity type
Organization (NPI-2)
Legal business name
4247bifocal LLC
Organization subpart
No
Enumeration date
Apr 30, 2010
Last updated
May 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOH4839OHYes

Practice location

6301 Sawmill Rd
Dublin, OH 43017-1471

Phone 614-889-7755 · Fax 614-889-7809

Mailing address

6301 Sawmill Rd
Dublin, OH 43017-1471

Phone 614-889-7755 · Fax 614-889-7809

Authorized official

Amy L. Havens
Optometrist
6148897755

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