| NPI | 1871512731 |
|---|---|
| Former Name | KIMBERLY S SPANGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5660) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13027) |
| 152W00000X Optometrist (Licence: NE 1295) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-05-07 |