Organization
CHELSEA LOCY-FOWLER O.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA LOCY-FOWLER O.D. (OPTOMETRIST/PRESIDENT)
(440) 474-3106
Entity
Organization
Contact information
Practice address
3705 STATE RD, ASHTABULA, OH 44004-5957
(440) 997-2020
Mailing address
1174 EAST MORGAN MEANEY ROAD, ASHTABULA, OH 44004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6477
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265881643
—
OH
Enumeration date
06/22/2017
Last updated
06/22/2017
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