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NPI Code Detail

MEDICARE: DR. MALINDA PENCE & ASSOCIATES, INC

MEDICARE: DR. MALINDA PENCE & ASSOCIATES, INC
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
1152W00000XOptometrist5060OH

General Provider Information

NPI Number : 1801075379
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. MALINDA PENCE & ASSOCIATES, INC
Provider Business Mailing Address
First Line : 6725 MIAMI AVE STE 101
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3158
Country : US
Telephone Number : 513-561-7076
Fax Number : 513-561-2066
Provider Business Practice Location Address
First Line : 6725 MIAMI AVE STE 101
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3158
Country : US
Telephone Number : 513-561-7076
Fax Number : 513-561-2066
Authorized Official
Title or Position : PRESIDENT
Name : DR. MALINDA BERNING PENCE
Credential : OD
Telephone Number : 513-561-7076
Provider Enumeration Date : 10/31/2007
Last Update Date : 07/24/2023

Similar Medicare Providers

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1710413687 — DR. SAMANTHA J MOREHOUSE AU.D.
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1396373379 — JENNA RAE STOFFEL OD
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