Individual
RICHARD FENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
101 E ALEX-BELL RD #120, CENTERVILLE, OH 45459-2789
(937) 435-2437
(937) 435-9579
Mailing address
101 E ALEX BELL RD, #120, CENTERVILLE, OH 45459-2753
(937) 435-2437
(937) 435-9579
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC 2197
OH
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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