Organization
MARK D HENRY OD INC
Active
Other names
Primary Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KENNEDY LDO (OPTICIAN)
(740) 654-9909
Entity
Organization
Contact information
Practice address
1213 N MEMORIAL DR, LANCASTER, OH 43130-1626
(740) 654-9909
(740) 654-9969
Mailing address
1213 N MEMORIAL DR, LANCASTER, OH 43130-1626
(740) 654-9909
(740) 654-9969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455141
—
OH
Enumeration date
10/17/2006
Last updated
07/14/2008
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