Perrysburg Eye Center, Inc. | |
28370 Kensington Ln, Suite A, Perrysburg, OH 43551-4163 | |
(419) 874-3125 | |
(419) 874-8606 |
Full Name | Perrysburg Eye Center, Inc. |
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Type | Facility |
Speciality | Ophthalmology |
Location | 28370 Kensington Ln, Perrysburg, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366475139 | NPI | - | NPPES |
2415265 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Lisa L Nirode |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528012077 PECOS PAC ID: 3779582531 Enrollment ID: I20061206000014 |
Provider Name | Reed T Roth |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679576474 PECOS PAC ID: 6608918677 Enrollment ID: I20100129000044 |
Provider Name | Stephen Eric Clark |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1134122948 PECOS PAC ID: 7911928445 Enrollment ID: I20100820000035 |
Provider Name | Jay R Meents |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225341233 PECOS PAC ID: 1153514252 Enrollment ID: I20101021000714 |
Provider Name | Sarah Rose Guzak |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982279840 PECOS PAC ID: 7618366063 Enrollment ID: I20211105001418 |
Provider Name | Erica Leigh Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750956538 PECOS PAC ID: 6305224767 Enrollment ID: I20220526000901 |
Mailing Address | Practice Location Address |
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Perrysburg Eye Center, Inc. 28370 Kensington Ln, Suite A, Perrysburg, OH 43551-4163 Ph: (419) 874-3125 | Perrysburg Eye Center, Inc. 28370 Kensington Ln, Suite A, Perrysburg, OH 43551-4163 Ph: (419) 874-3125 |