Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILFRED JAMES FENNEWALD, LICENSED OPTICIAN
Active Sole ProprietorOptician, Dispensing · OREGON, OH
Registration Details
- NPI Number
- 1093790941
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.355468152949 yrs)
- Last Updated
- Jan 28, 2019
- Licenses
-
SC2077 (OH)SC2077 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2737 NAVARRE AVE STE 204OREGON, OH, 436163276Browse OH providers · Browse ZIP 43616
- Phone
- 4196933376
- Fax
- 4196937519
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in OREGON, OH
| Name | Credential | NPI |
|---|---|---|
| CATHY SUE BIGLEY | OPTICIAN | 1265068605 |
| RANDY R JABLONSKI | LDO | 1073210001 |
| MRS. JULIANNE FRANCES LODZINSKI | LDO | 1154028199 |
| MRS. SHAWN K BACKES | LDO | 1073210670 |
| MS. CAROLYN J MAYNHART | LDO | 1679270284 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.