Healthcare Provider Details

I. General information

NPI: 1376243030
Provider Name (Legal Business Name): LINDA J HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 03/09/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8288 CINCINNATI DAYTON RD
WEST CHESTER OH
45069
US

IV. Provider business mailing address

8288 CINCINNATI DAYTON RD
WEST CHESTER OH
45069
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-4652
  • Fax: 513-759-2761
Mailing address:
  • Phone: 513-777-4652
  • Fax: 513-759-2761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number6486SC
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: