Organization
KEITH A. HUELSMAN OD INC
Active
Organization
KEITH A. HUELSMAN OD INC
Active
Other names
Springboro Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALLEN HUELSMAN OD (DOCTOR)
(937) 748-3937
Entity
Organization
Contact information
Practice address
564 N MAIN ST, SUITE A, SPRINGBORO, OH 45066-8001
(937) 748-3937
(937) 748-5209
Mailing address
564 N MAIN ST, SUITE A, SPRINGBORO, OH 45066-8001
(937) 748-3937
(937) 748-5209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000304246
ANTHEM
—
01
—
114040
EYEMED
—
01
—
3113884
AETNA
—
Enumeration date
03/18/2009
Last updated
03/20/2009
Update your record
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