Individual provider · NPI-1

Amber Banks, LDO

Technician/Technologist, Optician · Dayton, OH

NPI number1508563388
StatusActive
Last updated in NPPESFeb 13, 2023

Details

NPI
1508563388
Entity type
Individual (NPI-1)
Name
Amber Banks
Credential
LDO
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 13, 2023
Certification date
Feb 11, 2023
Last updated
Feb 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianOP.13160SOHYes

Practice location

3465 York Commons Blvd
Dayton, OH 45414-2675

Phone 937-454-6450

Mailing address

3465 York Commons Blvd
Dayton, OH 45414-2675

Phone 937-454-6450

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