Douglas Wine Family Optometry, INC.
Eyewear Supplier (Equipment, not the service) in Saint Marys, OH. Organization (NPI-2).
NPI number1376919704
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1376919704
- Entity type
- Organization (NPI-2)
- Legal business name
- Douglas Wine Family Optometry, INC.
- Organization subpart
- No
- Enumeration date
- Aug 19, 2015
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 140106 | OH | Yes |
Other names
- Epic Eyes (Other Name)
Practice location
140 W Spring StSaint Marys, OH 45885-2312
Phone 419-305-7283
Mailing address
227 Candlewood PlSaint Marys, OH 45885-9661
Phone 419-305-7283
Authorized official
Clarinda Wine
Optician
4193057283
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