Individual
SAMANTHA KAYE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 N LIBERTY ST, POWELL, OH 43065-8870
(614) 793-0700
Mailing address
265 N LIBERTY ST, POWELL, OH 43065-8870
(614) 793-0700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007285
OH
Other
Enumeration date
03/18/2024
Last updated
05/21/2024
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