Individual
MRS. BONNIE J ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LABOC, NCLEC
Contact information
Practice address
610 RUNNYMEDE RD, OAKWOOD, OH 45419-3322
(937) 250-1810
(937) 250-1812
Mailing address
610 RUNNYMEDE RD, OAKWOOD, OH 45419-3322
(937) 250-1810
(937) 250-1812
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
DIO-434
HI
156FC0801X
Contact Lens Fitter
OP.017041-SC
OH
156FX1800X
Optician
DIO-434
HI
156FX1800X
Optician
Primary
OP.017041-SC
OH
Other
Enumeration date
06/09/2015
Last updated
11/03/2022
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