Individual
MR. TREY BAIN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN/CL OPTICIAN
Contact information
Practice address
5464 DORR STREET, #6, TOLEDO, OH 43615-3636
(419) 280-2833
Mailing address
5464 DORR STREET, #6, TOLEDO, OH 43615-3636
(419) 280-2833
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
APP. 14766
OH
156FX1800X
Optician
APP. 14766
OH
Other
Enumeration date
11/10/2015
Last updated
05/16/2016
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