Individual
EMILY FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
331 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1370
(567) 307-6505
Mailing address
331 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1370
(567) 307-6505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007406
OH
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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