Douglas Wine Family Optometry, Inc.

NPI #1376919704 in Saint Marys, Ohio

Provider Information

NPI Number: 1376919704
Entity Type: Organization
Organization Name: Douglas Wine Family Optometry, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 19, 2015
Last Updated: Aug 19, 2015

Practice Location

Address: 140 W SPRING ST
City: Saint Marys
State: Ohio
ZIP Code: 45885-2312
Phone: (419) 305-7283

Authorized Official

Name: CLARINDA WINE
Title: OPTICIAN
Phone: (419) 305-7283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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