Northeast Ohio Eye Surgeons | |
3583 Reserve Commons Dr, Medina, OH 44256-8180 | |
(330) 722-8300 | |
(330) 725-0445 |
Full Name | Northeast Ohio Eye Surgeons |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3583 Reserve Commons Dr, Medina, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568581965 | NPI | - | NPPES |
000000292120 | Other | ANTHEM | |
2666164 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Amy M Fernandez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952352015 PECOS PAC ID: 1759365786 Enrollment ID: I20040616000857 |
Provider Name | Thomas Sk Chi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851341846 PECOS PAC ID: 1850369612 Enrollment ID: I20050315000197 |
Provider Name | Joanne H Briggs |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508940552 PECOS PAC ID: 0143248237 Enrollment ID: I20051115001199 |
Provider Name | Sara M Prusinski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629147566 PECOS PAC ID: 5496785230 Enrollment ID: I20061212000455 |
Provider Name | Myron Bodnar |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457356032 PECOS PAC ID: 0446392765 Enrollment ID: I20100126000206 |
Provider Name | Jennifer Sidun Vincent |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326483546 PECOS PAC ID: 7214166321 Enrollment ID: I20140213001193 |
Provider Name | Jenna Ranae Bernard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417696873 PECOS PAC ID: 0648650614 Enrollment ID: I20220707003777 |
Mailing Address | Practice Location Address |
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Northeast Ohio Eye Surgeons 3583 Reserve Commons Dr, Medina, OH 44256-8180 Ph: (330) 722-8300 | Northeast Ohio Eye Surgeons 3583 Reserve Commons Dr, Medina, OH 44256-8180 Ph: (330) 722-8300 |