Mr. Wilfred James Fennewald, LICENSEDOPTICIAN
Mr. Wilfred James Fennewald, LICENSEDOPTICIAN is a Contact Lens Fitter in Oregon, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
2737 Navarre Ave Ste 204Oregon, OH 43616-3276
Phone: (419) 693-3376
Fax: (419) 693-7519
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence SC2077 (OH) |
|---|---|
| Contact Lens Fitter | Taxonomy 156FC0801X · Licence SC2077 (OH) |
Record details
| NPI number | 1093790941 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICENSEDOPTICIAN |
| Sole proprietor | Yes |
| NPI enumerated | December 14, 2005 |
| Last updated in NPPES | January 28, 2019 |