Organization
RETINA CONSULTANTS OF NORTHWEST OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MORGAN (CONTROLER)
(419) 479-2661
Entity
Organization
Contact information
Practice address
2109 HUGHES DR, FLOOR E, TOLEDO, OH 43606-3856
(419) 479-6181
(419) 479-2664
Mailing address
2109 HUGHES DR, FLOOR E, TOLEDO, OH 43606-3856
(419) 479-6181
(419) 479-2664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0900234
—
OH
01
—
1804606471
BCBS-MI PPO TRUST
MI
01
—
1804606472
BCBS MI BLUE PREFERRED
MI
01
—
1804646651
BCBS-MI PPO
MI
01
—
1804646652
BCBS MI POINT OF SERVICE
MI
01
—
C30500
RAILROAD MEDICARE
OH
Enumeration date
08/18/2006
Last updated
08/22/2020
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