Organization
FELTZ AND MCCLOY, LLC
Active
Other names
Professional Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE THIEL (OFFICE MANAGER)
(740) 387-6633
Entity
Organization
Contact information
Practice address
1723 MARION-MT. GILEAD RD., MARION, OH 43302-7842
(740) 387-6880
(740) 387-7443
Mailing address
1723 MARION-MT. GILEAD RD., MARION, OH 43302-7842
(740) 387-6880
(740) 387-7443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4642T1417
OH
152W00000X
Optometrist
4665T1440
OH
152W00000X
Optometrist
5472T2384
OH
152W00000X
Optometrist
Primary
5572T2486
OH
152W00000X
Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
4642T1417
OH
152WV0400X
Vision Therapy Optometrist
4665T1440
OH
152WV0400X
Vision Therapy Optometrist
5472T2384
OH
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2687230
—
OH
01
—
7784332
AETNA
OH
01
—
DB2387
RAILROAD MEDICARE
OH
Enumeration date
06/07/2006
Last updated
12/17/2010
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