Individual
MR. TERRY F. SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O
Contact information
Practice address
9030 MONTGOMERY RD, CINCINNATI, OH 45242-7741
(513) 791-3336
(513) 791-3352
Mailing address
9030 MONTGOMERY RD, CINCINNATI, OH 45242-7741
(513) 791-3336
(513) 791-3352
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC 2420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721130001
SUPPLIER NUMBER
OH
Enumeration date
10/12/2007
Last updated
10/12/2007
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