Organization
FAMILY EYE CARE CLINIC OF BLUFFTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN YODER O.D. (OWNER/OPTOMETRIST)
(419) 358-6076
Entity
Organization
Contact information
Practice address
107 N MAIN ST, BLUFFTON, OH 45817-1245
(419) 358-6076
(419) 358-7736
Mailing address
107 N MAIN ST, PO BOX 123, BLUFFTON, OH 45817-1245
(419) 358-6076
(419) 358-7736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100488
—
OH
05
—
0743664
—
OH
05
—
2995997
—
OH
01
—
DT0332
RAILROAD MEDICARE
OH
Enumeration date
10/19/2007
Last updated
02/20/2017
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