| Michael J Woloschak Od Inc | |
|
2670 S Raccoon Rd Suite #1 Youngstown OH 44515-5380 | |
| (330) 799-3937 | |
| (330) 799-1557 |
| Full Name | Michael J Woloschak Od Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2670 S Raccoon Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Michael J Woloschak (OWNER) |
| Authorized Official Contact | 3307993937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Woloschak Od Inc 2670 S Raccoon Rd Suite #1 Youngstown OH 44515-5380 Ph: (330) 799-3937 | Michael J Woloschak Od Inc 2670 S Raccoon Rd Suite #1 Youngstown OH 44515-5380 Ph: (330) 799-3937 |
| NPI Number | 1447431119 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 9234229436 |
|---|---|
| Medicare Enrollment ID | O20071212000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447431119 | NPI | - | NPPES |
| 000000142252 | Other | ANTHEM | |
| 53992 | Other | UNISON | |
| 410047096 | Other | RAILROAD MEDICARE | |
| 0560576 | Medicaid | OH | |
| 118090 | Other | EYEMED | |
| 2200637 | Other | UNITED HEALTHCARE | |
| 289440488009 | Other | MEDICAL MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael Woloschak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073659512 PECOS PAC ID: 6507956703 Enrollment ID: I20071212000006 |
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