Individual
MICHELE IMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1221 GEORGESVILLE RD, COLUMBUS, OH 43228-3327
(614) 275-9840
(614) 275-9847
Mailing address
1221 GEORGESVILLE RD, COLUMBUS, OH 43228-3327
(614) 275-9840
(614) 275-9847
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
012936SC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012936
—
OH
Enumeration date
02/13/2023
Last updated
02/13/2023
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