Organization
OHIO VISION OF TOLEDO,INC.
Active
Other names
Optivue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. MARTIN M.D. (MEDICAL DIRECTOR)
(419) 693-4444
Entity
Organization
Contact information
Practice address
2740 NAVARRE AVE, OREGON, OH 43616-3216
(419) 639-4444
(419) 697-2149
Mailing address
2740 NAVARRE AVE, OREGON, OH 43616-3216
(419) 639-4444
(419) 697-2149
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
0066AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000500987
ANTHEM
OH
01
—
04230
PARAMOUNT HEALTH CARE
OH
01
—
2190657
UNITED HEALTH CARE
OH
05
—
2354287
—
OH
01
—
726120
BUCKEYE
OH
Enumeration date
07/05/2006
Last updated
01/23/2013
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