Northside Optical LLC
NPI #1306061379 in Eaton, Ohio
Provider Information
- NPI Number
- 1306061379
- Entity Type
- Organization
- Organization Name
- Northside Optical LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. PEGGY LOU BARKER, LICENSED OPTICIAN
- Title
- LICENSED OPTICIAN
- Phone
- (937) 472-3366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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