Healthcare Provider Details

I. General information

NPI: 1043421878
Provider Name (Legal Business Name): DEBORAH ANN VALIDO O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7875 MONTGOMERY RD
CINCINNATI OH
45236-4344
US

IV. Provider business mailing address

7875 MONTGOMERY RD
CINCINNATI OH
45236-4344
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-1059
  • Fax: 513-793-3016
Mailing address:
  • Phone: 513-793-1059
  • Fax: 513-793-3016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number4150
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: