Organization
DR PATRICK HENRY OD LLC
Active
Organization
DR PATRICK HENRY OD LLC
Active
Other names
HENRY PATRICK DR SOLE MEMBER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOPE D WCISLAK (BILLING MANAGER)
(419) 824-3318
Entity
Organization
Contact information
Practice address
6790 PROVIDENCE ST, WHITEHOUSE, OH 43571
(419) 877-1188
(419) 877-1156
Mailing address
109 W WAYNE ST, MAUMEE, OH 43537-2150
(419) 893-6841
(419) 893-4894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH5163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2196672
—
OH
Enumeration date
04/27/2007
Last updated
07/01/2008
Update your record
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