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NPI Code Detail

MEDICARE: OPHTHALMOLOGY ASSOCIATES OF NORTHWESTERN OHIO, INC.

MEDICARE: OPHTHALMOLOGY ASSOCIATES OF NORTHWESTERN OHIO, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier
2207W00000XOphthalmology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CF6696OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144261108
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPHTHALMOLOGY ASSOCIATES OF NORTHWESTERN OHIO, INC.
Provider Business Mailing Address
First Line : 3509 BRIARFIELD BLVD.
Second Line :
City : MAUMEE
State : OH
Zip : 43537
Country : US
Telephone Number : 419-865-3866
Fax Number : 419-865-3451
Provider Business Practice Location Address
First Line : 3509 BRIARFIELD BLVD
Second Line :
City : MAUMEE
State : OH
Zip : 43537-9383
Country : US
Telephone Number : 419-865-3866
Fax Number : 419-865-3451
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. SHARON E DUCHIN
Credential :
Telephone Number : 419-865-3866
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/06/2008

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Directions to “OPHTHALMOLOGY ASSOCIATES OF NORTHWESTERN OHIO, INC. ” Practice Location

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