Individual
DR. ANDRIENA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
Mailing address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316035009
NPI
OH
05
—
2416433
—
OH
Enumeration date
10/10/2006
Last updated
02/13/2013
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