Organization
HAROLD L. PICKENS, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD L PICKENS O.D. (OWNER)
(740) 633-2456
Entity
Organization
Contact information
Practice address
90 N 4TH ST, MARTINS FERRY, OH 43935-1648
(740) 633-2456
(740) 633-2334
Mailing address
90 N 4TH ST, MARTINS FERRY, OH 43935-1648
(740) 633-2456
(740) 633-2334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3689 T792
OH
332H00000X
Eyewear Supplier
3689 T792
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522992
—
OH
01
—
067919001
DURABLE MEDICAL EQUIPEMTN
—
Enumeration date
11/29/2007
Last updated
08/27/2012
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