Individual
DR. JENNETH MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
111 PROGRESS DR, BELLEVUE, OH 44811-9094
(419) 484-8181
(419) 484-1033
Mailing address
111 PROGRESS DR, BELLEVUE, OH 44811-9094
(419) 484-8181
(419) 484-1033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5239/T2143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2318487
—
OH
Enumeration date
01/26/2006
Last updated
02/21/2012
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