Individual
MRS. PEGGY JO BILPUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
705 TAYWOOD RD, SUITE-A, ENGLEWOOD, OH 45322-1856
(937) 826-2020
(937) 832-2916
Mailing address
705 TAYWOOD RD, SUITE-A, ENGLEWOOD, OH 45322-1856
(937) 826-2020
(937) 832-2916
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5702-S
OH
332H00000X
Eyewear Supplier
5702-S
OH
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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