Individual
CARLOS MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S TUTTLE RD, SPRINGFIELD, OH 45505-1556
(937) 325-2816
(937) 325-2818
Mailing address
200 S TUTTLE RD, SPRINGFIELD, OH 45505-1556
(937) 325-2816
(937) 325-2818
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP014607-S
OH
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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