Perrysburg Eye Center, INC.
Ophthalmology in Perrysburg, OH. Organization (NPI-2).
NPI number1366475139
StatusActive
Last updated in NPPESSep 10, 2014
Details
- NPI
- 1366475139
- Entity type
- Organization (NPI-2)
- Legal business name
- Perrysburg Eye Center, INC.
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Sep 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – |
Practice location
28370 Kensington LnSuite A
Perrysburg, OH 43551-4163
Phone 419-874-3125 · Fax 419-874-8606
Mailing address
28370 Kensington LnSuite A
Perrysburg, OH 43551-4163
Phone 419-874-3125 · Fax 419-874-8606
Authorized official
Stephen E Clark
President/Medical Director
4198743125
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