| |
127 Lynn Ave, Oxford, OH 45056-1548 | |
(866) 788-0001 | |
(765) 966-2975 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 127 Lynn Ave, Oxford, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245522275 | NPI | - | NPPES |
200962480D | Medicaid | IN | |
3153920 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 399, Richmond, IN 47375-0399 Ph: (765) 962-2020 | 127 Lynn Ave, Oxford, OH 45056-1548 Ph: (866) 788-0001 |