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Amy J Atha
Optician in Beavercreek, Ohio
NPI 1285332478

Amy J Atha is a Optician based in Beavercreek, OH and is specialized in Optician. Amy J Atha practices in Beavercreek, OH. The NPI Number for Amy J Atha is 1285332478 and holds a License No. OP.017146 (Ohio).

The current practice location address for Amy J Atha is 3360 Pentagon Blvd, Beavercreek, OH and can be reached out via phone at 937-426-4638.

Location: 3360 Pentagon Blvd, Beavercreek, OH, 45431-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285332478
Provider Name
Amy J Atha
Credential
Provider Entity Type
Individual
Gender
Female
Address
3360 Pentagon Blvd, Beavercreek, OH, 45431-1702
Phone Number
937-426-4638
Fax Number
Provider Enumeration Date
02/17/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OP.017146-S 05 OH
institution
Provider Business Practice Location Address Details
Address
3360 Pentagon Blvd
City
Beavercreek
State
Ohio
Zip
45431-1702
Phone Number
937-426-4638
Fax Number
person
Provider Business Mailing Address Details
Address
3360 Pentagon Blvd
City
Beavercreek
State
Ohio
Zip
45431-1702
Phone Number
937-426-4638
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP.017146 (Ohio)
Definition
Definition to come...
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