Organization
DEDARIO OPTICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL DEDARIO (OWNER, LDO)
(937) 278-9700
Entity
Organization
Contact information
Practice address
6550 N MAIN ST, DAYTON, OH 45415-2854
(937) 278-9700
(937) 278-4661
Mailing address
6550 N. MAIUN STREET, DAYTON, OH 45415-2854
(937) 278-9700
(937) 278-4661
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1487SC
OH
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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