# DANIEL J. MAYER, M.D. INC

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

## Provider details

- **NPI number:** 1942489620
- **Authorized official:** JANET MAYER (MANAGER)
- **Authorized official phone:** (330) 725-4174

## Contact information

- **Practice address:** 4067 N JEFFERSON ST, MEDINA, OH 44256-5622
- **Practice address phone:** (330) 725-4174
- **Practice address fax:** (330) 725-4080
- **Mailing address:** 4067 N JEFFERSON ST, MEDINA, OH 44256-5622
- **Mailing address phone:** (330) 725-4174
- **Mailing address fax:** (330) 725-4080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 053557 | OH | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 03/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000029208 | BCBS | OH |
| 05 | — | 0628128 | — | OH |
| 01 | — | CN7360 | RETIRED RAILROAD MEDICARE | OH |