Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4230 | OH |
NPI | 1013093871 |
---|---|
Provider Name | Dr. Stephen E Schnulo |
First Address | Worthington, OH 43085-2379 |
Second Address | Worthington, OH 43085-2379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U08712 | (02) | OH |