Organization
DOUGLAS WINE FAMILY OPTOMETRY, INC.
Active
Other names
Epic Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
CLARINDA WINE (OPTICIAN)
(419) 305-7283
Entity
Organization
Contact information
Practice address
140 W SPRING ST, SAINT MARYS, OH 45885-2312
(419) 305-7283
Mailing address
227 CANDLEWOOD PL, SAINT MARYS, OH 45885-9661
(419) 305-7283
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
140106
OH
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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