Female

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

Provider Address