# EYE SURGEON ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386601193
- **Authorized official:** PHILIP H. O'DONNELL M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (419) 782-6588

## Contact information

- **Practice address:** 1490 PINEHURST DR, DEFIANCE, OH 43512-8670
- **Practice address phone:** (419) 782-6588
- **Practice address fax:** (419) 784-3622
- **Mailing address:** 1490 PINEHURST DR, DEFIANCE, OH 43512-8670
- **Mailing address phone:** (419) 782-6588
- **Mailing address fax:** (419) 784-3622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35063310 | OH | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0922381 | — | OH |