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PROMEDICA CENTRAL PHYSICIANS LLC NPI 1871912410


NPI Information

NPI: 1871912410
Provider Name: PROMEDICA CENTRAL PHYSICIANS LLC

Doing Business As: PROMEDICA PHYSICIANS EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
5700 MONROE ST
SUITE 211
SYLVANIA, OH
ZIP 43560
Phone: (419) 776-1004
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PROMEDICA CENTRAL PHYSICIANS LLC is an optometrist in Sylvania, OH. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PROMEDICA CENTRAL PHYSICIANS LLC NPI is 1871912410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Promedica Physicians Eye Care.

The provider's business location address is:

5700 MONROE ST
SUITE 211
SYLVANIA, OH
ZIP 43560-767
Phone: (419) 776-1004
Fax: (419) 776-1020

The provider's authorized official is Andrea R Marshall .
The authorized official title is Credentialing Specialist and has the following contact phone number (567) 585-1997.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 7/11/2016.


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
1156F00000XTechnician/TechnologistOHIONo
2207W00000XOphthalmologyOHIONo
3152W00000XOptometristOHIOYes

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
14036950012MEDICARE NSCOHIO

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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