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General NPI Number Information
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NPI Number | 1093198566
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Entity Type | Organization
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Legal Business Name | OHIO EYE SURGEONS, INC
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 466 S TRIMBLE RD
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City | MANSFIELD
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State | OH
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Zip | 44906-3416
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Country | US
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Telephone | 419-756-8000
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Fax | 419-756-2601
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Provider Business Mailing Address
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Address Line | 466 S TRIMBLE RD
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City | MANSFIELD
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State | OH
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Zip | 44906-3416
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Country | US
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Telephone | 419-756-8000
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Fax | 419-756-2601
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONATHAN M SKARIE
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Credential | MD
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Telephone | 419-756-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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