# THE EYE CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Perry Eye Clinic Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124136189
- **Authorized official:** MICHAEL G WOOD DO (PRESIDENT)
- **Authorized official phone:** (330) 837-5191

## Contact information

- **Practice address:** 3545 LINCOLN WAY E, SUITE A, MASSILLON, OH 44646-8624
- **Practice address phone:** (330) 837-5191
- **Practice address fax:** (330) 837-0755
- **Mailing address:** 3545 LINCOLN WAY E, SUITE A, MASSILLON, OH 44646-8624
- **Mailing address phone:** (330) 837-5191
- **Mailing address fax:** (330) 837-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 06/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0935895 | — | OH |
| 01 | — | CM0456 | RAILROAD MEDICARE | OH |