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NPI Code Detail

MEDICARE: SANDRA KAY MCNAIR

MEDICARE:   SANDRA KAY MCNAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1013602143
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA KAY MCNAIR
Provider Business Mailing Address
First Line : 5500 MILAN RD
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-7800
Country : US
Telephone Number : 419-627-8878
Fax Number : 419-627-9677
Provider Business Practice Location Address
First Line : 5500 MILAN RD
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-7800
Country : US
Telephone Number : 419-627-8878
Fax Number : 419-627-9677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 04/05/2023

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Directions to “ SANDRA KAY MCNAIR ” Practice Location

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