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Organization
OH EYE ASSOCIATES INC
Active
Organization
OH EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAE HORNE (OFFICE MANAGER)
(330) 758-0900
Entity
Organization
Contact information
Practice address
16761 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9400
(330) 382-0573
Mailing address
8110 MARKET ST, YOUNGSTOWN, OH 44512-6243
(330) 758-0900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004564419
AETNA
—
01
—
00122022
ANTHEM
—
05
—
0706020
—
PA
01
—
0800600
UNITED HEALTHCARE
—
Enumeration date
05/14/2008
Last updated
05/14/2008
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