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Organization

OH EYE ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MAE HORNE (OFFICE MANAGER)
(330) 758-0900
Entity
Organization

Contact information

Practice address
16761 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9400
(330) 382-0573
Mailing address
8110 MARKET ST, YOUNGSTOWN, OH 44512-6243
(330) 758-0900

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00004564419
AETNA
01
00122022
ANTHEM
05
0706020
PA
01
0800600
UNITED HEALTHCARE
Enumeration date
05/14/2008
Last updated
05/14/2008
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