Organization
NORTHWEST OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH STUDEBAKER O.D. (PARTNER)
(937) 836-3041
Entity
Organization
Contact information
Practice address
639 W NATIONAL RD, ENGLEWOOD, OH 45322-1155
(937) 836-3041
(937) 836-1937
Mailing address
639 W NATIONAL RD, ENGLEWOOD, OH 45322-1155
(937) 836-3041
(937) 836-1937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3970
OH
332H00000X
Eyewear Supplier
3970
OH
Other
Enumeration date
01/02/2007
Last updated
10/14/2015
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