Provider Demographics
NPI:1073173621
Name:VOLLMER, HANNAH LOUISE (OD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:LOUISE
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9588 BEHNFELDT RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43556-9723
Mailing Address - Country:US
Mailing Address - Phone:419-318-8791
Mailing Address - Fax:419-452-0397
Practice Address - Street 1:1113 W HIGH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-1541
Practice Address - Country:US
Practice Address - Phone:419-318-8791
Practice Address - Fax:419-452-0397
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9802152W00000X
OHOPT006968152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152W00000XEye and Vision Services ProvidersOptometrist