Individual
JEFFREY M HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7334 YANKEE ROAD, LIBERTY TOWNSHIP, OH 45044-2803
(513) 759-9464
(513) 759-2536
Mailing address
7334 YANKEE ROAD, LIBERTY TOWNSHIP, OH 45044-2803
(513) 759-9464
(513) 759-2536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4712/T1501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000122758
ANTHEM
—
01
—
4712
HUMANA
—
Enumeration date
08/29/2006
Last updated
10/09/2012
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