| NPI | 1093790941 |
|---|---|
| Other Name | W JAMES FENNEWALD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH SC2077) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: OH SC2077) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-01-28 |