Individual
DR. PHILIP W VALENTINE
Active
Individual
DR. PHILIP W VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2815T1994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078679
—
OH
01
—
311195981
HUMANA
KY
01
—
311195981026
CARESOURCE
OH
Enumeration date
08/22/2005
Last updated
09/16/2013
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