Healthcare Provider Details

I. General information

NPI: 1699699165
Provider Name (Legal Business Name): PERRYSBURG VISION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 CHAPPEL DR
PERRYSBURG OH
43551-7256
US

IV. Provider business mailing address

5150 CHAPPEL DR
PERRYSBURG OH
43551-7256
US

V. Phone/Fax

Practice location:
  • Phone: 473-873-7446
  • Fax: 844-464-7407
Mailing address:
  • Phone: 473-873-7446
  • Fax: 844-464-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT CARL LAYMAN
Title or Position: OWNER
Credential: O.D.
Phone: 419-205-0363