Organization
THE EYE CLINIC, INC.
Active
Other names
Perry Eye Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G WOOD DO (PRESIDENT)
(330) 837-5191
Entity
Organization
Contact information
Practice address
3545 LINCOLN WAY E, SUITE A, MASSILLON, OH 44646-8624
(330) 837-5191
(330) 837-0755
Mailing address
3545 LINCOLN WAY E, SUITE A, MASSILLON, OH 44646-8624
(330) 837-5191
(330) 837-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935895
—
OH
01
—
CM0456
RAILROAD MEDICARE
OH
Enumeration date
08/29/2006
Last updated
06/21/2021
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