Healthcare Provider Details

I. General information

NPI: 1003886201
Provider Name (Legal Business Name): EYE TEAM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PROSPECT ST SUITE 105
SANDUSKY OH
44870-3316
US

IV. Provider business mailing address

1200 PROSPECT ST SUITE 105
SANDUSKY OH
44870-3362
US

V. Phone/Fax

Practice location:
  • Phone: 419-625-6090
  • Fax: 419-626-8621
Mailing address:
  • Phone: 419-625-6090
  • Fax: 419-626-8621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. HARRIS S SCHILD
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 419-625-6090