Provider Demographics
NPI:1194512749
Name:OHIO PENAL INDUSTRIES
Entity type:Organization
Organization Name:OHIO PENAL INDUSTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL INDUSTRY MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHELSEY
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:STILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-738-7859
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-0525
Mailing Address - Country:US
Mailing Address - Phone:614-738-7859
Mailing Address - Fax:
Practice Address - Street 1:1479 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-8808
Practice Address - Country:US
Practice Address - Phone:937-707-2289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty