Individual provider · NPI-1

Jonathan David Culp, O.D.

Optometrist · Dublin, OH

NPI number1790097590
StatusActive
Last updated in NPPESSep 24, 2020

Details

NPI
1790097590
Entity type
Individual (NPI-1)
Name
Jonathan David Culp
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2010
Certification date
Sep 24, 2020
Last updated
Sep 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5937OHYes
152W00000X Optometrist618002038VA

Practice location

6285 Emerald Pkwy
Dublin, OH 43016-3241

Phone 614-764-8956 · Fax 614-764-9532

Mailing address

6285 Emerald Pkwy
Dublin, OH 43016-3241

Phone 614-764-8956 · Fax 614-764-9532

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