Individual
DR. MICHAEL L. GIOVANETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5537 BRIDGETOWN RD, CINCINNATI, OH 45248-4329
(513) 574-2233
(513) 574-3937
Mailing address
5537 BRIDGETOWN RD, CINCINNATI, OH 45248-4329
(513) 574-2233
(513) 574-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3411-T459
OH
152WC0802X
Corneal and Contact Management Optometrist
3411-T459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019417
ANTHEM INSURANCE
OH
05
—
0408777
—
OH
01
—
0473273
MEDICARE ID
OH
01
—
22-01201
UNITED HEALTHCARE I.D.
OH
Enumeration date
07/26/2005
Last updated
03/24/2008
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