| |
60 Ashwood Dr, Tiffin, OH 44883-1908 | |
(419) 448-8811 | |
(419) 448-7418 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 60 Ashwood Dr, Tiffin, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639111289 | NPI | - | NPPES |
0218698 | Medicaid | OH | |
2742787 | Medicaid | OH | |
0569040 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4855T1825 (Ohio) | Secondary |
207W00000X | Ophthalmology | 35050815 (Ohio) | Primary |
Provider Name | Thomas W Meade |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962586040 PECOS PAC ID: 4880604743 Enrollment ID: I20060424000137 |
Provider Name | Wade E Young |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699759159 PECOS PAC ID: 6608901400 Enrollment ID: I20100318000601 |
Provider Name | Blair Clark |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205199528 PECOS PAC ID: 2769759901 Enrollment ID: I20170518002135 |
Mailing Address | Practice Location Address |
---|---|
60 Ashwood Dr, Tiffin, OH 44883-1908 Ph: (419) 448-8811 | 60 Ashwood Dr, Tiffin, OH 44883-1908 Ph: (419) 448-8811 |