JOHN WALLACE JR., LDO
Technician/Technologist - Optician
Active
Individual
NPI: 1730551730
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Technician/Technologist - Optician | 156FX1800X | Yes | 6310S (OH) |
Frequently Asked Questions
NPI 1730551730 is the National Provider Identifier for JOHN WALLACE JR., LDO, a Technician/Technologist - Optician provider located in North Randall, OH. This NPI was enumerated on October 29, 2015.
JOHN WALLACE JR., LDO practices at 4840 NORTHFIELD RD, North Randall, OH 44128.
Quick Facts
- NPI
- 1730551730
- Type
- Individual
- Enumerated
- Oct 29, 2015
- Last Updated
- Oct 29, 2015
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