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2540 Woodville Rd, Northwood, OH 43619-1444 | |
| (419) 693-0484 | |
| (419) 693-2042 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2540 Woodville Rd, Northwood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821679705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | John T Archer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568565034 PECOS PAC ID: 4789678913 Enrollment ID: I20040417000626 |
| Provider Name | Michael Jay Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689609851 PECOS PAC ID: 2466556345 Enrollment ID: I20070403000002 |
| Provider Name | Cheryl Archer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447353917 PECOS PAC ID: 2961496195 Enrollment ID: I20090818000127 |
| Provider Name | Tracey G Needham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245305754 PECOS PAC ID: 8123157161 Enrollment ID: I20100601000023 |
| Provider Name | Mile Brujic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659474120 PECOS PAC ID: 7517053762 Enrollment ID: I20100811000070 |
| Provider Name | Andrea K Dietz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649568577 PECOS PAC ID: 8729257456 Enrollment ID: I20110812000551 |
| Provider Name | Auston Hood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740854389 PECOS PAC ID: 3274932140 Enrollment ID: I20210525003318 |
| Provider Name | Zachary Shawn Jacoby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396437828 PECOS PAC ID: 2668839754 Enrollment ID: I20230605002859 |
| Mailing Address | Practice Location Address |
|---|---|
2540 Woodville Rd, Northwood, OH 43619-1444 Ph: (419) 693-0484 | 2540 Woodville Rd, Northwood, OH 43619-1444 Ph: (419) 693-0484 |
Dr. Zachary Shawn Jacoby, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4620 Woodville Rd, Northwood, OH 43619 Phone: 419-693-0484 | |
Albert I Lavsky, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3725 Williston Rd, Sears Optical, Northwood, OH 43619 Phone: 419-693-0277 | |
Dr. Michael Jay Crawford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2540 Woodville Rd, Northwood, OH 43619 Phone: 419-693-0484 Fax: 419-693-2042 | |
Dr. Chandni Merchant, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2600 Lauren Ln, Northwood, OH 43619 Phone: 719-688-3509 | |
Dr. Auston Hood, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2540 Woodville Rd, Northwood, OH 43619 Phone: 419-693-0484 Fax: 419-693-2042 |