Jill Kristine Showalter O.D.

NPI 1659424877 - Optometrist - 152W00000X

NPI Details
NPI 1659424877
Gender Female
Enumeration Date 01/19/2007
Last Updated 06/17/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1500 GRAND CENTRAL AVE
SUITE 112
VIENNA WV, 26105-1079, US
Phone (304) 295-5025
Fax (304) 295-7178
Business Location
1500 GRAND CENTRAL AVE
SUITE 112
VIENNA WV, 26105-1079, US
Phone (304) 295-5025
Fax (304) 295-7178
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 4683 T1458
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According to our database, Dr. Jill Kristine Showalter O.D. NPI is 1659424877, taxonomy code is 152W00000X and license number is 4683 T1458, license state is located at Ohio. Jill Kristine Showalter O.D. physically located at 1500 Grand Central Ave, Vienna WV, 26105-1079. NPI Number Jill Kristine Showalter O.D. has the Individual type.

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1659424877 NPI number is provided on an as is basis without warranty of any kind. 1659424877 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Kristine Showalter O.D. are for informational purposes only.