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
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