Individual
JAMES GERALD SHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
123 MILL ST, NEW LEXINGTON, OH 43764-1341
(740) 743-2243
Mailing address
7070 BUTCHER KNIFE RD NE, P.O BOX 0799, SOMERSET, OH 43783-9545
(740) 743-2243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153971
—
OH
Enumeration date
02/18/2007
Last updated
07/08/2007
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