Organization
EYE SITE OF DELPHOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UNTERBRINK (OWNER)
(419) 692-2015
Entity
Organization
Contact information
Practice address
664 ELIDA AVE, DELPHOS, OH 45833-1735
(419) 692-2015
Mailing address
924 PRIMROSE DR, WAPAKONETA, OH 45895-1051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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