Individual
DR. DIANE L GIFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
250 TALLMADGE RD, KENT, OH 44240-7204
(330) 299-9650
(330) 299-9656
Mailing address
PO BOX 1154, HUDSON, OH 44236-6354
(216) 548-8278
(330) 299-9656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2842357
—
OH
Enumeration date
08/09/2005
Last updated
01/07/2021
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