Organization
SPECTRUM EYE CARE INC
Active
Parent organization
SPECTRUM EYE CARE INC
Other names
Eye Surgeons of Findlay
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM EYE CARE INC
Authorized official
DR. JACK G G HENDERSHOT JR. MD (PRESIDENT OWNER)
(419) 422-6190
Entity
Organization
Contact information
Practice address
15840 MEDICAL DRIVE SOUTH, SUITE A, FINDLAY, OH 45840
(419) 422-6190
(419) 423-3235
Mailing address
15840 MEDICAL DRIVE SOUTH, SUITE A, FINDLAY, OH 45840
(419) 422-6190
(419) 423-3235
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319582
ANTHEM BCBS
OH
05
—
0297021
—
OH
01
—
14540000
PROXYMED
OH
01
—
487287400
DEPT OF LABORWORKERS COMP
OH
01
—
CF6565
RR MEDICARE
OH
Enumeration date
10/24/2006
Last updated
10/30/2008
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