Ophthalmology And Oculoplastic Surgery, Llc | |
150 7th Ave, Suite 100, Chardon, OH 44024-2908 | |
(440) 285-2020 | |
(440) 285-8448 |
Full Name | Ophthalmology And Oculoplastic Surgery, Llc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 150 7th Ave, Chardon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073713400 | NPI | - | NPPES |
CG4745 | Other | OH | RAILROAD MEDICARE |
2841689 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 5012T188 (Ohio) | Secondary |
207W00000X | Ophthalmology | 35060480 (Ohio) | Primary |
Provider Name | Augustine J Kellis |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437193828 PECOS PAC ID: 5193621852 Enrollment ID: I20040211000873 |
Provider Name | Gene A Johnson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396950184 PECOS PAC ID: 1557417763 Enrollment ID: I20090914000001 |
Provider Name | John William Langel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821449406 PECOS PAC ID: 5092082859 Enrollment ID: I20170525002532 |
Provider Name | Mark Armando Prendes |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073874954 PECOS PAC ID: 0648418160 Enrollment ID: I20180830002880 |
Provider Name | Ryan Zaidinski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255952669 PECOS PAC ID: 7315368925 Enrollment ID: I20200608002206 |
Mailing Address | Practice Location Address |
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Ophthalmology And Oculoplastic Surgery, Llc 150 7th Ave, Suite 100, Chardon, OH 44024-2908 Ph: (440) 285-2020 | Ophthalmology And Oculoplastic Surgery, Llc 150 7th Ave, Suite 100, Chardon, OH 44024-2908 Ph: (440) 285-2020 |