The Eye Clinic Inc | |
1605 Portage Rd Nw, North Canton, OH 44720 | |
(330) 433-1350 | |
(330) 305-5021 |
Full Name | The Eye Clinic Inc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1605 Portage Rd Nw, North Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689937229 | NPI | - | NPPES |
0935895 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Michael Glenn Wood |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447215728 PECOS PAC ID: 9537171228 Enrollment ID: I20080930000290 |
Provider Name | Brian E Wind |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164415147 PECOS PAC ID: 5799705240 Enrollment ID: I20090723000234 |
Provider Name | Steven E Hansen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285628412 PECOS PAC ID: 8820140767 Enrollment ID: I20090723000376 |
Provider Name | Lawrence Mccluer Ronning |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609844612 PECOS PAC ID: 8325164445 Enrollment ID: I20100927000749 |
Provider Name | Jason Papas |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639533722 PECOS PAC ID: 6608161021 Enrollment ID: I20210615002521 |
Mailing Address | Practice Location Address |
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The Eye Clinic Inc 3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 Ph: (330) 837-5191 | The Eye Clinic Inc 1605 Portage Rd Nw, North Canton, OH 44720 Ph: (330) 433-1350 |