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Organization

JEFFREY W. COLLINS, O.D., INC.

Active
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Organization

JEFFREY W. COLLINS, O.D., INC.

Active
Other names
Suzanne L. Leach O.D. Family Vision Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUZANNE L LEACH O.D. (DOCTOR)
(937) 472-5665
Entity
Organization

Contact information

Practice address
1845 STATE ROUTE 127 N, STE A, EATON, OH 45320-9284
(937) 472-5665
(937) 472-3933
Mailing address
1845 STATE ROUTE 127 N, STE A, EATON, OH 45320-9284
(937) 472-5665
(937) 472-3933

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1156
OH
152W00000X
Optometrist
Primary
4119
OH
152W00000X
Optometrist
T938
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230824
OH
Enumeration date
11/02/2006
Last updated
11/03/2017
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