# PROMEDICA CENTRAL PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ProMedica Physicians Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649689860
- **Authorized official:** ANDREA R MARSHALL (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (567) 585-1997

## Contact information

- **Practice address:** 1 SEAGATE, SUITE 800, TOLEDO, OH 43604
- **Practice address phone:** (567) 585-1997
- **Practice address fax:** (419) 824-7359
- **Mailing address:** 1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
- **Mailing address phone:** (567) 585-1997
- **Mailing address fax:** (419) 824-7359

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 08/27/2018