Gregory J Derodes, OD | |
2311 Hayes Ave, Fremont, OH 43420-2634 | |
(419) 334-8121 | |
(419) 332-9351 |
Full Name | Gregory J Derodes |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 32 Years |
Location | 2311 Hayes Ave, Fremont, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790876605 | NPI | - | NPPES |
4347 | Other | OH | STATE LIC |
0883414 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4347 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Centers Of Northwest Ohio Llc | 0446314892 | 5 |
Provider Name | Eye Centers Of Northwest Ohio Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124284518 PECOS PAC ID: 0446314892 Enrollment ID: O20090129000189 |
Mailing Address | Practice Location Address |
---|---|
Gregory J Derodes, OD 2311 Hayes Ave, Fremont, OH 43420-2634 Ph: (419) 334-8121 | Gregory J Derodes, OD 2311 Hayes Ave, 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 | |
Eye Centers Of Northwest Ohio Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2311 Hayes Ave, Suite B, 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 |