Dr Douglas J Wine, OD is a
Optometrist based in Saint Marys, Ohio. Dr Douglas J Wine is licensed to practice in Ohio (license number T1670) and his current practice location is
140 W Spring St, Saint Marys, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 394-2397.
NPI number for Dr Douglas J Wine is 1376643445 and his current mailing address is 140 W Spring St, Saint Marys, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376643445.
Healthcare Provider's Profile
| Full Name | Dr Douglas J Wine |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 140 W Spring St, Saint Marys, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376643445
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 09/29/2010
Medical Identifiers
Medical identifiers for Dr Douglas J Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376643445 | NPI | - | NPPES |
| 0916941 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 3979 (Ohio) | Secondary |
| 152W00000X | Optometrist | T1670 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas J Wine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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