Individual
DR. ANGEL J MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1679 WOODMAN DR, DAYTON, OH 45432-3336
(937) 258-1515
(937) 258-8790
Mailing address
10580 FALCON RIDGE CT, CENTERVILLE FINANCE, OH 45458-4772
(937) 657-2132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330235
ANTHEM
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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