Organization
DR. DALE P. LINDSEY, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE P LINDSEY O.D. (PRESIDENT)
(330) 638-8599
Entity
Organization
Contact information
Practice address
122 FOWLER ST, CORTLAND, OH 44410-1328
(330) 638-8599
(330) 638-8551
Mailing address
122 FOWLER ST, CORTLAND, OH 44410-1328
(330) 638-8599
(330) 638-8551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3679T543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573786
—
OH
01
—
LI0595412
PTAN
—
Enumeration date
08/09/2012
Last updated
08/09/2012
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