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NPI Code Detail

MEDICARE: DR. F. TODD PERZY O.D.

MEDICARE:  DR. F. TODD PERZY  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
1152W00000XOptometrist5407OH
2152WC0802XCorneal and Contact Management Optometrist5407OH
3152WP0200XPediatric Optometrist5407OH
4152WV0400XVision Therapy Optometrist5407OH
5152WX0102XOccupational Vision Optometrist5407OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00059627OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300190443026OTHEROHCARESOURCE
2OH5407OTHEROHEYEMED
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000317105OTHEROHBLUE CROSS

General Provider Information

NPI Number : 1922002641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. F. TODD PERZY O.D.
Provider Business Mailing Address
First Line : 4014 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3033
Country : US
Telephone Number : 330-225-1254
Fax Number : 330-225-2033
Provider Business Practice Location Address
First Line : 4014 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3033
Country : US
Telephone Number : 330-225-1254
Fax Number : 330-225-2033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/10/2007

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Directions to “ DR. F. TODD PERZY O.D.” Practice Location

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