Individual ProviderOlivia Ilene LewisStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address23 Oxbow Trl, Athens, OH 45701-6809(740) 593-1000(517) 200-8518PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Ilene Lewis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1578259578Provider TypeIndividualFull NameLewis, Olivia IleneGenderFemaleSole ProprietorYesEnumeration Date4/12/2023Last Updated4/12/2023Contact InformationPractice LocationPractice Address23 Oxbow Trl, Athens, OH 45701-6809Phone(740) 593-1000FaxUnlisted FaxMailing LocationMailing Address206 Park St, Litchfield, MI 49252-9737Phone(517) 200-8518FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer