IndividualActive
Carol Kirk
NPI 1760189765 · Optician · Logan, OH
Provider details
- NPI number
- 1760189765
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- OP.12205-SC (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
12910 State Route 664 S
Logan, OH 43138-8564
Phone: (740) 380-1939
Approximate (ZIP-level) locationGet directions
Mailing address
12910 State Route 664 S
Logan, OH 43138-8564
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.