| |
3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 | |
(330) 837-5191 | |
(330) 837-0755 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3545 Lincoln Way E, Massillon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124136189 | NPI | - | NPPES |
0935895 | Medicaid | OH | |
CM0456 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 Ph: (330) 837-5191 | 3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 Ph: (330) 837-5191 |