Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | S.5580 | OH |
NPI | 1225438898 |
---|---|
Provider Name | Carolyn Frost |
First Address | Findlay, OH 45840-5857 |
Second Address | Findlay, OH 45840-5857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2014 |
Last Update Date | 02/09/2014 |