Promedica Central Physicians
Optometrist in Sylvania, OH. Organization (NPI-2).
NPI number1871912410
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1871912410
- Entity type
- Organization (NPI-2)
- Legal business name
- Promedica Central Physicians
- Organization subpart
- No
- Enumeration date
- Apr 10, 2014
- Certification date
- Oct 13, 2025
- Last updated
- Oct 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | OH | Yes |
| 156F00000X | Technician/Technologist | – | OH | |
| 207W00000X | Ophthalmology | – | OH |
Other names
- Promedica Physicians Eye Care (Doing Business As)
Practice location
5700 Monroe St Unit 211Sylvania, OH 43560-2737
Phone 419-776-1004 · Fax 419-776-1020
Mailing address
100 Madison Ave Fl 3Toledo, OH 43604-1516
Authorized official
Tanya Wines
Director
5675850422
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