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Organization
DR PATRICK HENRY OD LLC
Active
Organization
DR PATRICK HENRY OD LLC
Active
Other names
LIFETIME VISION CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOPE D WCISLAK (BILLING MANAGER)
(419) 893-6841
Entity
Organization
Contact information
Practice address
109 WEST WAYNE ST, MAUMEE, OH 43537-2150
(419) 893-6841
(419) 893-4894
Mailing address
109 WEST WAYNE ST, MAUMEE, OH 43537-2150
(419) 893-6841
(419) 893-4894
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
5163 T2062
OH
Other
Enumeration date
03/06/2007
Last updated
07/01/2008
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