Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 6547 | OH |
NPI | 1003344359 |
---|---|
Provider Name | Dr. Vincent Michael Ferlita |
First Address | Columbus, OH 43221-5670 |
Second Address | Circleville, OH 43113-9002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2017 |
Last Update Date | 31/05/2017 |