Individual
WAYNE H COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
905 S POPLAR ST, BUCYRUS, OH 44820-2663
(419) 562-3822
(419) 562-9939
Mailing address
905 S POPLAR ST, BUCYRUS, OH 44820-2663
(419) 562-3822
(419) 562-9939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2786
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127556
ANTHEM
OH
01
—
0005635655
AETNA
OH
05
—
0090299
—
OH
01
—
341116258027
CARESOURCE
OH
01
—
85394
COLE VISION
OH
01
—
EO14678
SPECTERA
OH
01
—
OH2786
EYEMED
OH
Enumeration date
07/26/2006
Last updated
07/02/2008
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