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NPI Code Detail

MEDICARE: DR. THOMAS G RUH O.D.

MEDICARE: DR. THOMAS G RUH O.D.
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
1152W00000XOptometrist2814T1976OH

General Provider Information

NPI Number : 1811980121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS G RUH O.D.
Provider Business Mailing Address
First Line : 4680 LIBERTY AVE
Second Line :
City : VERMILION
State : OH
Zip : 44089-3243
Country : US
Telephone Number : 440-967-7373
Fax Number : 440-967-7373
Provider Business Practice Location Address
First Line : 4680 LIBERTY AVE
Second Line :
City : VERMILION
State : OH
Zip : 44089-3243
Country : US
Telephone Number : 440-967-7373
Fax Number : 440-967-7373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 04/12/2013

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