| Eye Centers Of Northwest Ohio Llc | |
|
2311 Hayes Ave, Suite B, Fremont, OH 43420-2634 | |
| (419) 334-8121 | |
| (419) 332-9351 |
| Full Name | Eye Centers Of Northwest Ohio Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2311 Hayes Ave, Fremont, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124284518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Stacy P Rellinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134299209 PECOS PAC ID: 6204809361 Enrollment ID: I20040817000706 |
| Provider Name | Jason R Kolodziejczyk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124052626 PECOS PAC ID: 2769486513 Enrollment ID: I20060908000359 |
| Provider Name | Gregory J Derodes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790876605 PECOS PAC ID: 6800951278 Enrollment ID: I20090304000220 |
| Provider Name | Susan E Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922242213 PECOS PAC ID: 3274663273 Enrollment ID: I20100618000322 |
| Provider Name | Alexzandra A Rudinoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053978361 PECOS PAC ID: 3274860069 Enrollment ID: I20190816002330 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Centers Of Northwest Ohio Llc 2311 Hayes Ave, Suite B, Fremont, OH 43420-2634 Ph: (419) 334-8121 | Eye Centers Of Northwest Ohio Llc 2311 Hayes Ave, Suite B, Fremont, OH 43420-2634 Ph: (419) 334-8121 |
Dr. Alexzandra Amelia Rudinoff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121 | |
Jason R Kolodziejczyk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121 Fax: 419-332-9351 | |
Stacy Pasch Rellinger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121 Fax: 419-332-9351 | |
Mark A. Mathews, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 218 S. Front St, Fremont, OH 43420 Phone: 419-332-4309 Fax: 419-332-3834 | |
Walter H Oxley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 126 S Front St, Fremont, OH 43420 Phone: 419-334-9779 Fax: 419-334-4545 | |
Gregory J Derodes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121 Fax: 419-332-9351 |