| |
213 E Front St, Pemberville, OH 43450-7036 | |
(419) 287-3287 | |
(419) 287-3287 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 213 E Front St, Pemberville, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750467783 | NPI | - | NPPES |
0322556 | Medicaid | OH | |
03062 | Other | OH | PARAMOUNT HEALTH CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3159T890 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
213 E Front St, Pemberville, OH 43450-7036 Ph: (419) 287-3287 | 213 E Front St, Pemberville, OH 43450-7036 Ph: (419) 287-3287 |