Doctor Name: | MARY LOU NYITRAY |
NPI Number: | 1013194133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDO |
License Number: | 74SC |
Business Practice Address: | 2934 W Central Ave Toledo, OH - 436063022 |
Business Phone Number: | 4195357837 |
Business Fax Number: | 4195357838 |
Mailing Address: | 2934 W Central Ave, TOLEDO |
State: | OH |
Postal Code: | 436063022 |
Phone Number: | 4195357837 |
Fax Number: | 4195357838 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 74SC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |