Justin Michael Valenti O.D.

NPI 1629352570 - Optometrist - 152W00000X

NPI Details
NPI 1629352570
Gender Male
Enumeration Date 10/10/2011
Last Updated 10/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3427 FREEDOM DR
SPRINGFIELD IL, 62704-6517, US
Phone (217) 718-3477
Fax
Business Location
2605 INTERLACKEN DR
SPRINGFIELD IL, 62704-4242, US
Phone (217) 899-2955
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046010503
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According to our database, Dr. Justin Michael Valenti O.D. NPI is 1629352570, taxonomy code is 152W00000X and license number is 046010503, license state is located at Illinois. Justin Michael Valenti O.D. physically located at 3427 Freedom Dr, Springfield IL, 62704-6517. NPI Number Justin Michael Valenti O.D. has the Individual type.

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1629352570 NPI number is provided on an as is basis without warranty of any kind. 1629352570 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Michael Valenti O.D. are for informational purposes only.