Individual
OLIVIA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1515 6TH ST STE A, GREEN BAY, WI 54304-2272
(920) 499-2147
Mailing address
429 E 12TH AVE APT H, COLUMBUS, OH 43201-2244
(317) 339-7119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4012
WI
152W00000X
Optometrist
OPT.007290
OH
Other
Enumeration date
05/20/2024
Last updated
06/27/2024
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