| |
1000 Regency Ct, Ste 100, Toledo, OH 43623-3074 | |
(419) 882-0588 | |
(419) 885-3070 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1000 Regency Ct, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720155534 | NPI | - | NPPES |
CI3304 | Other | OH | RAILROAD MEDCIARE |
000000163747 | Other | OH | ANTHEM |
2057821 | Medicaid | OH |
Provider Name | Christina Pacio Tam |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205871787 PECOS PAC ID: 0941250328 Enrollment ID: I20050125000112 |
Provider Name | Dino J Costa |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659376978 PECOS PAC ID: 8325089121 Enrollment ID: I20050520000806 |
Provider Name | Khalil A Raffoul |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407851736 PECOS PAC ID: 2264548221 Enrollment ID: I20101008000178 |
Provider Name | James A Knupp |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548211774 PECOS PAC ID: 0446212633 Enrollment ID: I20130628000504 |
Provider Name | John Michael Elchinger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629505581 PECOS PAC ID: 4789952359 Enrollment ID: I20170622002999 |
Provider Name | Sami M Khan |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1619400900 PECOS PAC ID: 9638443310 Enrollment ID: I20220712002263 |
Mailing Address | Practice Location Address |
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1000 Regency Ct, Ste 100, Toledo, OH 43623-3074 Ph: (419) 882-0588 | 1000 Regency Ct, Ste 100, Toledo, OH 43623-3074 Ph: (419) 882-0588 |