| Dr Douglas J Wine, OD | |
|
140 W Spring St, Saint Marys, OH 45885-2312 | |
| (419) 394-2397 | |
| (419) 394-2398 |
| Full Name | Dr Douglas J Wine |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 140 W Spring St, Saint Marys, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376643445 | NPI | - | NPPES |
| 0916941 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3979 (Ohio) | Secondary |
| 152W00000X | Optometrist | T1670 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas J Wine, OD 140 W Spring St, Saint Marys, OH 45885-2312 Ph: (419) 394-2397 | Dr Douglas J Wine, OD 140 W Spring St, Saint Marys, OH 45885-2312 Ph: (419) 394-2397 |
St. Marys Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 140 W Spring St, Saint Marys, OH 45885 Phone: 419-394-2397 | |
St. Marys Family Optometry / Oakwood Family Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 W Spring St, Saint Marys, OH 45885 Phone: 419-394-2397 Fax: 419-394-2398 |