Organization
EYE SURGEON ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H. O'DONNELL M.D. (OWNER/PRESIDENT)
(419) 782-6588
Entity
Organization
Contact information
Practice address
1490 PINEHURST DR, DEFIANCE, OH 43512-8670
(419) 782-6588
(419) 784-3622
Mailing address
1490 PINEHURST DR, DEFIANCE, OH 43512-8670
(419) 782-6588
(419) 784-3622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35063310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0922381
—
OH
Enumeration date
04/26/2006
Last updated
08/22/2020
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