4247bifocal LLC

NPI #1154648103 in Dublin, Ohio

Provider Information

NPI Number: 1154648103
Entity Type: Organization
Organization Name: 4247bifocal LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 30, 2010
Last Updated: May 6, 2010

Practice Location

Address: 6301 SAWMILL RD
City: Dublin
State: Ohio
ZIP Code: 43017-1471
Phone: (614) 889-7755

Authorized Official

Name: DR. AMY L. HAVENS, O.D.
Title: OPTOMETRIST
Phone: (614) 889-7755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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