Organization
QUALITY OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R FENWICK O.D. (OWNER)
(574) 936-9137
Entity
Organization
Contact information
Practice address
313 E JEFFERSON ST, PLYMOUTH, IN 46563-1825
(574) 936-9136
(574) 936-9146
Mailing address
313 E JEFFERSON ST, PLYMOUTH, IN 46563-1825
(574) 936-9136
(574) 936-9146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325370
—
IN
Enumeration date
05/08/2006
Last updated
09/16/2010
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