Provider Demographics
NPI:1265068605
Name:BIGLEY, CATHY SUE (OPTICIAN)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:SUE
Last Name:BIGLEY
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-2636
Mailing Address - Country:US
Mailing Address - Phone:419-770-9232
Mailing Address - Fax:419-214-8924
Practice Address - Street 1:41 PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-2636
Practice Address - Country:US
Practice Address - Phone:419-770-9232
Practice Address - Fax:419-214-8924
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.017042-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty