Individual
DANA JEAN OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
315 N DETROIT ST, KENTON, OH 43326-1575
(419) 673-5201
(419) 673-8652
Mailing address
315 N DETROIT ST, KENTON, OH 43326-1575
(419) 673-5201
(419) 673-8652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2241578
—
OH
01
—
341214040029
CARESOURCE
OH
Enumeration date
09/29/2006
Last updated
06/19/2008
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