Organization
ADAM FANNIN, OD LLC
Active
Organization
ADAM FANNIN, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM J FANNIN OD (CEO)
(937) 515-3072
Entity
Organization
Contact information
Practice address
540 HARRY SAUNER RD, HILLSBORO, OH 45133-8298
(937) 840-0760
Mailing address
540 HARRY SAUNER RD, HILLSBORO, OH 45133-8298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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