IndividualActive
Kimberley Vlach, OPTICIAN
NPI 1114607934 · Optician · Willowick, OH
Provider details
- NPI number
- 1114607934
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Female
- Sole proprietor
- No
- License
- S11529 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
32313 Vine St
Willowick, OH 44095-3371
Phone: (440) 943-6858
Fax: (440) 943-6858
Approximate (ZIP-level) locationGet directions
Mailing address
32313 Vine St
Willowick, OH 44095-3371
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.