Individual
DR. PHILIP W VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
739 SPRUCE AVE, SIDNEY, OH 45365-0179
(937) 492-1990
(937) 492-7230
Mailing address
PO BOX 179, SIDNEY, OH 45365-0179
(937) 492-1990
(937) 492-7230
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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