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PERRYSBURG EYE CENTER INC. NPI 1366475139


NPI Information

NPI: 1366475139
Provider Name: PERRYSBURG EYE CENTER, INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
28370 KENSINGTON LN
SUITE A
PERRYSBURG, OH
ZIP 43551
Phone: (419) 874-3125
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PERRYSBURG EYE CENTER, INC. is an ophthalmology in Perrysburg, OH. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PERRYSBURG EYE CENTER, INC. NPI is 1366475139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28370 KENSINGTON LN
SUITE A
PERRYSBURG, OH
ZIP 43551-163
Phone: (419) 874-3125
Fax: (419) 874-8606

The provider's authorized official is Stephen E Clark .
The authorized official title is President/medical Director and has the following contact phone number (419) 874-3125.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12415265MEDICAIDOHIO
2=========00OTHEROHIOWORKERS' COMPENSATION
3DA2726MEDICARE PIN
4PE9334331MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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