Individual
DAVID H GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
222 JEFFERSON ST, PORT CLINTON, PORT CLINTON, OH 43452-1141
(419) 734-2106
(419) 734-3792
Mailing address
222 JEFFERSON ST, PORT CLINTON, PORT CLINTON, OH 43452-1141
(419) 734-2106
(419) 734-3792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510602
ANTHEM BCBS
OH
01
—
02487
PARAMOUNT HEALTHCARE
OH
05
—
0257181
—
OH
Enumeration date
07/19/2005
Last updated
06/01/2009
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