Nick J Donch

NPI 1093040255 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1093040255
Enumeration Date 10/06/2009
Last Updated 10/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NICK J NICK
Position OWNER/OPTOMETRIST
Phone (440) 428-2526
Fax (440) 428-2526
Practice Location
103 N LAKE ST
MADISON OH, 44057-3115, US
Phone (440) 428-2526
Fax (440) 428-2526
Business Location
103 N LAKE ST
MADISON OH, 44057-3115, US
Phone (440) 428-2526
Fax (440) 428-2526
Toxanomy
Taxonomy Code 332H00000X
License State Ohio
License Number 2762
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According to our database, Nick J Donch NPI is 1093040255, taxonomy code is 332H00000X and license number is 2762, license state is located at Ohio. Nick J Donch physically located at 103 N Lake St, Madison OH, 44057-3115. NPI Number 1033115704 has the healthcare provider type.

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1093040255 NPI number is provided on an as is basis without warranty of any kind. 1093040255 is maintained by the National Plan & Provider Enumeration System. The contents of Nick J Donch are for informational purposes only.