| |
830 Amherst Rd Ne, Suite 204, Massillon, OH 44646-8518 | |
(330) 837-6812 | |
(330) 837-0755 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 830 Amherst Rd Ne, Massillon, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558464636 | NPI | - | NPPES |
CM0456 | Other | OH | RAILROAD MEDICARE |
2355142 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
3545 Lincoln Way E Ste A, Massillon, OH 44646-8624 Ph: (330) 837-5191 | 830 Amherst Rd Ne, Suite 204, Massillon, OH 44646-8518 Ph: (330) 837-6812 |