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1651 W Main Street, Newark, OH 43055-1345 | |
(740) 522-3937 | |
(740) 522-6766 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1651 W Main Street, Newark, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316024326 | NPI | - | NPPES |
2161995 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Shahin Shahinfar |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588687743 PECOS PAC ID: 3870517360 Enrollment ID: I20060126000061 |
Provider Name | Steven W Blausey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740294198 PECOS PAC ID: 5991719239 Enrollment ID: I20060126000083 |
Mailing Address | Practice Location Address |
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1651 W Main Street, Newark, OH 43055-1345 Ph: (740) 522-3937 | 1651 W Main Street, Newark, OH 43055-1345 Ph: (740) 522-3937 |