Organization Name: | SUE E. VAN DOOTINGH OD |
NPI Number: | 1780853317 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE E VAN DOOTINGH (OPTOMETRIST) |
Mailing Address: | 820 Jefferson St Port Clinton |
State: | OH US |
Postal Code: | 434522416 |
Phone Number: | 4197322828 |
Fax Number: | 4197345914 |
NPI Enumeration Date: | 02/28/2008 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |