Individual
DR. CHARLES WILLIAM FORNARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
224 CHESTNUT STREET, COSHOCTON, OH 43812-1164
(740) 622-1484
(740) 622-1540
Mailing address
224 CHESTNUT STREET, COSHOCTON, OH 43812-1164
(740) 622-1484
(740) 622-1540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5622
OH
152W00000X
Optometrist
713
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2685018
—
OH
Enumeration date
11/15/2005
Last updated
10/16/2019
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