Organization
MICHAEL L. RECKER, O.D. LLC
Active
Organization
MICHAEL L. RECKER, O.D. LLC
Active
Other names
Perrysburg Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI M. RECKER (BUSINESS MANAGER)
(419) 872-2020
Entity
Organization
Contact information
Practice address
410 LOUISIANA AVE, PERRYSBURG, OH 43551-2269
(419) 872-2020
(419) 872-2029
Mailing address
410 LOUISIANA AVE, PERRYSBURG, OH 43551-2269
(419) 872-2020
(419) 872-2029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4870
OH
332H00000X
Eyewear Supplier
4870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891770434
INDIVIDUAL NPI
—
05
—
2046708
—
OH
Enumeration date
12/01/2008
Last updated
12/01/2008
Update your record
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