Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OH4543 | OH |
NPI | 1205914504 |
---|---|
Provider Name | Denise Ann Bell |
First Address | Columbus, OH 43221-5506 |
Second Address | Columbus, OH 43219-3016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 01/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U63566 | (02) | OH |