Jack L Neely and Holly L Hanbaum Ptr

NPI #1265816490 in Newark, Ohio

Provider Information

NPI Number: 1265816490
Entity Type: Organization
Organization Name: Jack L Neely and Holly L Hanbaum Ptr
Primary Specialty: Optometrist
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 1010 N 21ST ST
City: Newark
State: Ohio
ZIP Code: 43055-2984
Phone: (740) 366-5050

Authorized Official

Name: JACK NEELY, O.D.
Title: OPTOMETRIST/OWNER
Phone: (740) 366-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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