Organization
JAMES OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFRED JAMES FENNEWALD L.D.O. (LICENSED OPTICAN)
(419) 693-3376
Entity
Organization
Contact information
Practice address
2737 NAVARRE AVE STE 204, OREGON, OH 43616-3276
(419) 693-3376
(419) 693-7519
Mailing address
2737 NAVARRE AVE STE 204, OREGON, OH 43616-3276
(419) 693-3376
(419) 693-7519
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SC 2077
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511637
—
OH
01
—
10251
PARAMOUNT HEALTH CARE
—
Enumeration date
03/05/2008
Last updated
01/28/2019
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