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Individual

DR. JOHN F FANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6105 MEMORIAL DR, DUBLIN, OH 43017-9000
(614) 793-8440
(614) 793-8383
Mailing address
6105 MEMORIAL DR, DUBLIN, OH 43017-9000
(614) 793-8440
(614) 793-8383

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH 3707
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000119325
ANTHEM BLUE CROSS
OH
01
0809637
AETNA
OH
01
2200157
UNITED HEALTHCARE
OH
01
23837
SPECTERA
OH
01
OH-3707
EYEMED
OH
Enumeration date
02/02/2007
Last updated
01/09/2008
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