Wilfred James Fennewald in Oregon - Optician

Wilfred James Fennewald - NPI 1093790941

Wilfred James Fennewald is a Optician in Oregon, Ohio. Wilfred James Fennewald practices all healthcare services and medical treatments related to Optician. The NPI Number for Wilfred James Fennewald is 1093790941. The last update date is 2019-01-28.

Wilfred James Fennewald's current location address is 2737 Navarre Ave Ste 204, Oregon, Ohio. You can contact this provider via phone number 4196933376 and fax number 4196937519. The mailing address for Wilfred James Fennewald is 2737 Navarre Ave Ste 204, Oregon, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Wilfred James Fennewald
Address 2737 Navarre Ave Ste 204, Oregon, Ohio
Phone Number 4196933376
Fax Number 4196937519
Sole Proprietor Y
Credentials LICENSED O

NPI Number Detail

NPI Number 1093790941
Provider Enumeration Date 2005-12-14
Last Updated Date 2019-01-28

Provider Mailing Address Detail

Address 2737 Navarre Ave Ste 204
City Oregon
State Ohio (OH)
Post Code 436163276
Phone Number 4196933376
Fax Number 4196937519

Provider's Primary Taxonomy Detail

Speciality Optician
Taxonomy 156Fx1800X
Licence No SC2077
Definition:
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
363492 OH NVA
OH2077 OH EYEMED
511637 OH --
31106091100 OH BWC
155056 OH ANTHEM
10251 OH PARAMOUNT HEALTH CARE
311060911001 OH MEDICAL MUTUAL
15295 OH SPECTERA

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FAQs about Wilfred James Fennewald

What is the unique provider identifier assigned to Wilfred James Fennewald?

The Wilfred James Fennewald has been issued the NPI (National Provider Identifier) 1093790941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Wilfred James Fennewald is physically located?

The Wilfred James Fennewald is situated at the following address: 2737 Navarre Ave Ste 204, Oregon, OH 436163276.

What is Wilfred James Fennewald's area of expertise and its corresponding taxonomy classification?

The Wilfred James Fennewald's field of specialization is Optician, and it falls under the taxonomy code 156Fx1800X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1093790941 to Wilfred James Fennewald?

The Centers for Medicare & Medicaid Services originally issued the 1093790941 to Wilfred James Fennewald on 2005-12-14.

As of what date were the details related to Wilfred James Fennewald most recently updated or revised?

The information pertaining to Wilfred James Fennewald, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-28.

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