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Individual

DR. ROBERT J DITTOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
391 LINCOLN PARK DR, NEW LEXINGTON, OH 43764-1080
(740) 342-1784
(740) 342-1791
Mailing address
449 BUCKINGHAM LN, LANCASTER, OH 43130-8891
(740) 681-9680

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3465/T409
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0429656
OH
01
580002099A
RAILROAD MEDICARE
OH
Enumeration date
05/27/2006
Last updated
11/16/2018
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