Organization
DR. STEVEN A SHADWICK AND ASSOC. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ALEXANDER SHADWICK O.D. (OWNER/PRESIDENT)
(513) 422-8031
Entity
Organization
Contact information
Practice address
1053 SUMMITT DR, MIDDLETOWN, OH 45042-3464
(513) 422-8031
(513) 422-8624
Mailing address
1053 SUMMITT DR, MIDDLETOWN, OH 45042-3464
(513) 422-8031
(513) 422-8624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3753 T645
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0581562
—
OH
Enumeration date
10/19/2006
Last updated
10/19/2009
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