Organization Name: | JOHN DRURY M.D. |
NPI Number: | 1518144039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN WALTER DRURY (OWNER) |
Mailing Address: | 2015 E Perkins Ave Sandusky |
State: | OH US |
Postal Code: | 448705130 |
Phone Number: | 4196257491 |
Fax Number: | 4196251113 |
NPI Enumeration Date: | 01/28/2008 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 034107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |