Individual
SHANE A. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
416 W UNION ST, ATHENS, OH 45701-2328
(740) 594-2271
(740) 594-2270
Mailing address
416 WEST UNION STREET, ATHENS, OH 45701
(740) 594-2271
(740) 594-2270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5792
OH
Other
Enumeration date
07/09/2008
Last updated
05/29/2012
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