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Jenelle Odom
Optician in Whitehall, Ohio
NPI 1942907605

Jenelle Odom is a Optician based in Whitehall, OH and is specialized in Optician. Jenelle Odom practices in Whitehall, OH. The NPI Number for Jenelle Odom is 1942907605 and holds a License No. 2485-SC (Ohio).

The current practice location address for Jenelle Odom is 3657 E Main St, Whitehall, OH and can be reached out via phone at 614-239-7829.

Location: 3657 E Main St, Whitehall, OH, 43213-2924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942907605
Provider Name
Jenelle Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
3657 E Main St, Whitehall, OH, 43213-2924
Phone Number
614-239-7829
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306909577 05 OH
institution
Provider Business Practice Location Address Details
Address
3657 E Main St
City
Whitehall
State
Ohio
Zip
43213-2924
Phone Number
614-239-7829
Fax Number
person
Provider Business Mailing Address Details
Address
3657 E Main St
City
Whitehall
State
Ohio
Zip
43213-2924
Phone Number
614-239-7829
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
2485-SC (Ohio)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
2485-SC (Ohio)
Definition
Definition to come...
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