Organization
FAMILY EYE CARE CLINIC OF BLUFFTON, LLC
Active
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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