| |
550 S Cleveland Ave, Suite E, Westerville, OH 43081-8958 | |
(614) 899-2020 | |
(614) 899-2454 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 550 S Cleveland Ave, Westerville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033201553 | NPI | - | NPPES |
CA8572 | Other | OH | RAILROAD GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5865 (Ohio) | Secondary |
207W00000X | Ophthalmology | 35053294 (Ohio) | Primary |
Provider Name | Tatiana C Hammond |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164652244 PECOS PAC ID: 9931248234 Enrollment ID: I20091130000071 |
Provider Name | Jaclyn Marie Paskiet |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245469154 PECOS PAC ID: 5698808178 Enrollment ID: I20100804000713 |
Provider Name | Wesley James Harnish |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1619979911 PECOS PAC ID: 3072546308 Enrollment ID: I20120413000348 |
Mailing Address | Practice Location Address |
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550 S Cleveland Ave, Suite E, Westerville, OH 43081-8958 Ph: (614) 899-2020 | 550 S Cleveland Ave, Suite E, Westerville, OH 43081-8958 Ph: (614) 899-2020 |