MEDICARE: AGNONE, MORRISON AND ASSOCIATES EYE PHYSICIANS AND SURGEONS INC

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
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174607733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGNONE, MORRISON AND ASSOCIATES EYE PHYSICIANS AND SURGEONS INC

Provider Business Mailing Address
First Line	:	1550 LONDON AVE
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-8988
Country	:	US
Telephone Number	:	937-553-2020
Fax Number	:	937-553-2021

Provider Business Practice Location Address
First Line	:	1550 LONDON AVE
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-8988
Country	:	US
Telephone Number	:	937-553-2021
Fax Number	:	937-553-2021

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CRYSTAL COOPER
Credential	:
Telephone Number	:	937-553-2020

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	03/06/2025

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