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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN MADDUX

Active Sole Proprietor

JUSTIN MADDUX is a Optician, Dispensing healthcare provider located in LOGAN, Ohio. NPI 1861199861 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · LOGAN, OH

Registration Details

NPI Number
1861199861
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2023 (3.5443901913554 yrs)
Last Updated
Feb 9, 2023
License
OP.11156-S (OH)
Sole Proprietor
Yes

Practice Information

Address
12910 STATE ROUTE 664 S
LOGAN, OH, 431388564
Browse OH providers · Browse ZIP 43138
Phone
7403801939
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in LOGAN, OH

Name Credential NPI
RACHAEL BROWN 1497452494
CAROL LYNN KIRK 1760189765
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.