Individual
DR. NATHAN LEO ATTERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1275 GLEN DR, MILLERSBURG, OH 44654-8958
(330) 674-6121
(330) 674-7409
Mailing address
1275 GLEN DR, MILLERSBURG, OH 44654-8958
(419) 685-3310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6010T2925
OH
152WC0802X
Corneal and Contact Management Optometrist
6010T2925
OH
152WL0500X
Low Vision Rehabilitation Optometrist
6010T2925
OH
152WP0200X
Pediatric Optometrist
6010T2925
OH
Other
Enumeration date
07/06/2011
Last updated
10/10/2017
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