Organization
ASSOCIATED OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDREW FLEISHMAN M.D. (OWNER)
(937) 223-1279
Entity
Organization
Contact information
Practice address
1520 S MAIN ST, DAYTON, OH 45409-2698
(937) 223-1279
Mailing address
4148 RIDGEWAY RD, KETTERING, OH 45429-1640
(937) 643-4049
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101535
—
OH
Enumeration date
04/25/2008
Last updated
04/25/2008
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