Celisha Ann Merriman O.D

NPI 1841632874 - Optometrist - 152W00000X

NPI Details
NPI 1841632874
Gender Female
Enumeration Date 07/18/2013
Last Updated 07/18/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
316 S MAIN ST
ANNA IL, 62906-1242, US
Phone (618) 833-3777
Fax
Business Location
316 S MAIN ST
ANNA IL, 62906-1242, US
Phone (618) 833-3777
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046.010710
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According to our database, Dr. Celisha Ann Merriman O.D NPI is 1841632874, taxonomy code is 152W00000X and license number is 046.010710, license state is located at Illinois. Celisha Ann Merriman O.D physically located at 316 S Main St, Anna IL, 62906-1242. NPI Number Celisha Ann Merriman O.D has the Individual type.

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1841632874 NPI number is provided on an as is basis without warranty of any kind. 1841632874 is maintained by the National Plan & Provider Enumeration System. The contents of Celisha Ann Merriman O.D are for informational purposes only.