Individual
CHERYL ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2765 FORT AMANDA RD, SUITE100, LIMA, OH 45805-4813
(419) 228-3937
(419) 228-3939
Mailing address
216 ORANGE DR, WAPAKONETA, OH 45895
(419) 228-3937
(419) 228-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3762 T631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128550
ANTHEM BCBS
OH
05
—
0800673
—
OH
Enumeration date
09/07/2006
Last updated
06/29/2010
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