Organization
JACK L NEELY AND HOLLY L HANBAUM PTR
Active
Organization
JACK L NEELY AND HOLLY L HANBAUM PTR
Active
Other names
Neely and Hanbaum Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JACK NEELY O.D. (OPTOMETRIST/OWNER)
(740) 366-5050
Entity
Organization
Contact information
Practice address
1010 N 21ST ST, NEWARK, OH 43055-2984
(740) 366-5050
Mailing address
1010 N 21ST ST, NEWARK, OH 43055-2984
(740) 366-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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