Provider Demographics
NPI:1710040704
Name:AHERN, CINDY F (OD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:F
Last Name:AHERN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MIAMI ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2023
Mailing Address - Country:US
Mailing Address - Phone:937-652-1807
Mailing Address - Fax:937-652-1808
Practice Address - Street 1:128 MIAMI ST.
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2023
Practice Address - Country:US
Practice Address - Phone:937-652-1807
Practice Address - Fax:937-652-1808
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3587152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0493372Medicaid
OH0493372Medicaid
OH3587Medicare UPIN