Organization
UNIQUE-U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERAMIAH THOMAS DONELSON LDO (OWNER)
(740) 389-1300
Entity
Organization
Contact information
Practice address
163 JAMES WAY, MARION, OH 43302
(740) 389-1300
Mailing address
163 JAMES WAY, MARION, OH 43302
(740) 389-1300
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S7159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2621416
—
OH
Enumeration date
10/03/2006
Last updated
03/26/2008
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