Individual
TERRY A OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5303 BOWEN DR, MASON, OH 45040-6732
(513) 770-4178
(513) 770-4187
Mailing address
5303 BOWEN DR, MASON, OH 45040-6732
(513) 770-4178
(513) 770-4187
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP003978-SC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP.3978-SC
—
OH
Enumeration date
03/02/2023
Last updated
12/19/2023
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