NPI 1114625282

Ellen Detrick

Practitioner Optician Lima, OH

Practice location

Address: 2450 Allentown Rd, Lima, OH 45805-1712
Phone: (419) 371-2223
Fax: (419) 227-9800

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence OP.006949-SC (OH)

Other Technician/Technologist providers in Ohio →

Registry record

NPI: 1114625282
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2023
Record last updated: 20 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.