Individual
DR. BRENDA HEIKE MONTECALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4248 INDIAN RIPPLE RD, DAYTON, OH 45440-3280
(937) 320-0300
(937) 320-0500
Mailing address
4248 INDIAN RIPPLE RD, DAYTON, OH 45440-3280
(937) 320-0300
(937) 320-0500
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
4167 T795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869494
—
OH
Enumeration date
01/11/2007
Last updated
02/20/2008
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