Provider Demographics
NPI:1871787242
Name:CRANCE, DAVID J (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:CRANCE
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Gender:M
Credentials:OPTICIAN
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Mailing Address - Street 1:150 TAYLOR STATION RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-4441
Mailing Address - Country:US
Mailing Address - Phone:614-367-7704
Mailing Address - Fax:614-367-7706
Practice Address - Street 1:150 TAYLOR STATION RD
Practice Address - Street 2:SUITE 150
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-4441
Practice Address - Country:US
Practice Address - Phone:614-367-7704
Practice Address - Fax:614-367-7706
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2008-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHS5234156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6015450001Medicare NSC