Henry Patrick Dr Sole Member is a
Optometrist based in Whitehouse, Ohio. Henry Patrick Dr Sole Member is licensed to practice in Ohio (license number OH5163) and their current practice location is
6790 Providence St, Whitehouse, Ohio. It can be reached at their office (for appointments etc.) via phone at
(419) 877-1188.
NPI number for Henry Patrick Dr Sole Member is 1164642435 and their current mailing address is 109 W Wayne St, Maumee, Ohio. Henry Patrick Dr Sole Member
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164642435.
Healthcare Provider's Profile
| Full Name | Henry Patrick Dr Sole Member |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 6790 Providence St, Whitehouse, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164642435
- Provider Enumeration Date: 04/27/2007
- Last Update Date: 07/01/2008
Medical Identifiers
Medical identifiers for Henry Patrick Dr Sole Member such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164642435 | NPI | - | NPPES |
| 2196672 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OH5163 (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. Henry Patrick Dr Sole Member 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 |
|---|
Henry Patrick Dr Sole Member
109 W Wayne St,
Maumee, OH 43537-2150
Ph: (419) 893-6841 | Henry Patrick Dr Sole Member
6790 Providence St,
Whitehouse, OH 43571
Ph: (419) 877-1188 |
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