# NORTHERN OHIO MEDICAL SPECIALISTS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NOMS Eye
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407365349
- **Authorized official:** JOSHUA G FREDERICK (CEO)
- **Authorized official phone:** (419) 626-6161

## Contact information

- **Practice address:** 32730 WALKER RD STE J1, AVON LAKE, OH 44012-2235
- **Practice address phone:** (440) 961-2040
- **Practice address fax:** (440) 961-2041
- **Mailing address:** PO BOX 378, SANDUSKY, OH 44871-0378
- **Mailing address phone:** (419) 626-6161
- **Mailing address fax:** (419) 502-3537

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2017
- **Last updated:** 01/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0323193 | — | OH |