Dr Patrick Henry Od LLC

NPI #1164642435 in Whitehouse, Ohio

Provider Information

NPI Number: 1164642435
Entity Type: Organization
Organization Name: Dr Patrick Henry Od LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 27, 2007
Last Updated: Jul 1, 2008

Practice Location

Address: 6790 PROVIDENCE ST
City: Whitehouse
State: Ohio
ZIP Code: 43571
Phone: (419) 877-1188

Authorized Official

Name: MRS. HOPE D WCISLAK
Title: BILLING MANAGER
Phone: (419) 824-3318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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