Mrs. Bonnie J. Ashley LABOC, NCLEC
Optician in Oakwood, OH(View on Map)
Full Name
Mrs. Bonnie J Ashley LABOC, NCLEC
NPI Number
1740661347
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/09/2015
Specialties
(Taxonomies)Code
156FX1800X
156FC0801X
156FC0800X
Primary Taxonomy
Yes
No
No
Licenses
State
Hawaii
Ohio
License Number
DIO-434
OP.017041-SC
Contact
Information
Purpose
Mailing
Location
Address
610 RUNNYMEDE RD
610 RUNNYMEDE RD
City
Oakwood
Oakwood
State
OH
OH
Postal Code
45419-3322
45419-3322
Country
US
US
Telephone Number
(937) 250-1810
(937) 250-1810
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
optician1@bonavistaoptics.com
Endpoint Description
Secure Email
Use
Direct
Content Type
CSV
Affiliation
N
Endpoint Location
610 Runnymede RdOakwood, OH454193322US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/03/2022