Organization
THOMAS E BAUER OD AND DIANE S DIBLE OD LLC
Active
Organization
THOMAS E BAUER OD AND DIANE S DIBLE OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE S DIBLE OD (MEMBER LLC)
(419) 523-5670
Entity
Organization
Contact information
Practice address
1518 N PERRY ST, OTTAWA, OH 45875-1167
(419) 523-5670
(419) 523-4025
Mailing address
1518 N PERRY ST, OTTAWA, OH 45875-1167
(419) 523-5670
(419) 523-4025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4552 3214
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/27/2007
Last updated
06/30/2010
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