Individual
DR. RUSSELL A MARINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
142 W WATER ST STE L, OAK HARBOR, OH 43449-1373
(419) 898-1918
(866) 651-8467
Mailing address
3972 S MEMORIAL SHOREWAY DR, EYE SURGERY CONSULTANTS INC., LAKESIDE MARBLEHEAD, OH 43440-2374
(567) 230-0263
(866) 651-8467
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5494
OH
207W00000X
Ophthalmology Physician
5494/T2406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341090
ANTHEM
OH
01
—
2498208
UNITED HEALTHCARE
OH
05
—
2499998
—
OH
01
—
P00151040
RAILROAD MEDICARE PIN
OH
01
—
P00441299
RAILROAD MEDICARE PIN
OH
Enumeration date
10/17/2006
Last updated
10/15/2020
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