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DR PATRICK HENRY OD LLC NPI 1659401180


NPI Information

NPI: 1659401180
Provider Name: DR PATRICK HENRY OD LLC

Doing Business As: LIFETIME VISION CARE CENTER

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
109 WEST WAYNE ST
MAUMEE, OH
ZIP 43537
Phone: (419) 893-6841
Get Directions

DR PATRICK HENRY OD LLC is a vision therapy optometrist in Maumee, OH. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR PATRICK HENRY OD LLC NPI is 1659401180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifetime Vision Care Center.

The provider's business location address is:

109 WEST WAYNE ST
MAUMEE, OH
ZIP 43537-150
Phone: (419) 893-6841
Fax: (419) 893-4894

The provider's authorized official is Hope D Wcislak .
The authorized official title is Billing Manager and has the following contact phone number (419) 893-6841.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/1/2008.


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
1152WV0400XOptometristVision Therapy5163 T2062OHIOYes

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
1U81596MEDICARE UPINOHIO
25426580001MEDICARE NSCOHIO
32196672MEDICAIDOHIO
45163 T2062OTHEROHIOSTATE LICENSE NUMBER
5DB9390MEDICARE PINOHIO
69328491MEDICARE 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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