Healthcare Provider Details

I. General information

NPI: 1245937853
Provider Name (Legal Business Name): ANGEL M SPIERS LDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 E 2ND ST
FRANKLIN OH
45005
US

IV. Provider business mailing address

1275 E 2ND ST
FRANKLIN OH
45005
US

V. Phone/Fax

Practice location:
  • Phone: 937-704-0809
  • Fax: 937-704-0820
Mailing address:
  • Phone: 937-704-0809
  • Fax: 937-704-0820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberOP.017230-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: