Individual
MARK BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1465 S REYNOLDS RD, TOLEDO, OH 43615-7413
(419) 385-4011
Mailing address
7600 SUMMERFIELD RD, LAMBERTVILLE, MI 48144-9677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3393 T1875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433767
—
OH
Enumeration date
01/17/2006
Last updated
07/08/2007
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