Individual
DR. MICHAEL THOMAS POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2749 EDMONDSON RD, LOCATED INSIDE LENSCRAFTERS, CINCINNATI, OH 45209-1912
(513) 631-5181
(513) 631-3517
Mailing address
4060 WATERFORD WAY, CINCINNATI, OH 45245-1956
(513) 720-3417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1175DT
KY
152W00000X
Optometrist
18002498
IN
152W00000X
Optometrist
Primary
4165/T097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001188
—
OH
01
—
H969700
MEDICARE
OH
Enumeration date
08/07/2006
Last updated
03/20/2023
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