| |
251 Portland Way N, Galion, OH 44833-1632 | |
(419) 468-5200 | |
(419) 468-3719 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 251 Portland Way N, Galion, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912111725 | NPI | - | NPPES |
2006895 | Medicaid | OH | |
0897374 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4617T1363 (Ohio) | Secondary |
207W00000X | Ophthalmology | 35057803 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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32280 Wintergreen Dr, Solon, OH 44139-1356 Ph: (440) 248-2542 | 251 Portland Way N, Galion, OH 44833-1632 Ph: (419) 468-5200 |