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General NPI Number Information
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NPI Number | 1427091164
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Entity Type | Organization
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Legal Business Name | OHIO EYE ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 03/21/2023
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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 | 419-756-7100
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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 | 419-756-7100
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Authorized Official
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Title or Position | ADMINISTRATOR
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | PC022168950 03
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #4
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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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