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NPI Code Detail

MEDICARE: DR. WILLIAM WEBER MCGANN O.D.

MEDICARE:  DR. WILLIAM WEBER MCGANN  O.D.
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
1152W00000XOptometrist4524/T1220OH

General Provider Information

NPI Number : 1558454728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM WEBER MCGANN O.D.
Provider Business Mailing Address
First Line : 733 GROVE AVE
Second Line :
City : KENT
State : OH
Zip : 44240-3407
Country : US
Telephone Number : 330-678-8682
Fax Number :
Provider Business Practice Location Address
First Line : 6751 N CHESTNUT ST
Second Line :
City : RAVENNA
State : OH
Zip : 44266-3903
Country : US
Telephone Number : 330-296-6293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM WEBER MCGANN O.D.” Practice Location

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