Individual
DR. TODD LEE BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 630-2173
Mailing address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 630-2173
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4290
OH
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
4290
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134337
ANTHEM
—
05
—
0657105
—
OH
01
—
180017837
RAILROAD MEDICARE
OH
01
—
4044067
AETNA
—
01
—
40625101
UNITED HEALTHCARE
—
Enumeration date
05/24/2005
Last updated
03/19/2019
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