Individual
BRAD MITCHELL GENEREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 569-3941
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6175
OH
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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