Individual
DR. RICHARD A. FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1679 WOODMAN DR, DAYTON, OH 45432-3336
(937) 258-1515
(937) 258-9790
Mailing address
61 SOUTH STATE STREET, PHILLIPSBURG, OH 45354
(937) 884-7891
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH4100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0769511
—
OH
Enumeration date
05/09/2006
Last updated
07/07/2014
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