Individual
MIKASA SAMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 SECOR RD, TOLEDO, OH 43623-4266
(419) 474-8833
Mailing address
4011 SECOR RD, TOLEDO, OH 43623-4266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00663000
NJ
152W00000X
Optometrist
Primary
OPT.6494
OH
Other
Enumeration date
09/02/2015
Last updated
07/13/2016
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