Individual
MR. CHRISTIAN A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 S DEFIANCE ST, 1001 SOUTH DEFIANCE ST, ARCHBOLD, OH 43502-1617
(419) 445-5436
(419) 446-4818
Mailing address
1001 S DEFIANCE ST, P.O. BOX 38, ARCHBOLD, OH 43502-1617
(419) 445-5436
(419) 446-4818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
611174299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716620001
PALMETTO GBA
—
05
—
0768129
—
OH
01
—
KI0655791
ADMINISTAR
—
Enumeration date
07/17/2006
Last updated
09/25/2008
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