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
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