Organization
THE EYE CLINIC, INC.
Active
Other names
Perry Eye Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E WIND D.O. (PRESIDENT)
(330) 837-5191
Entity
Organization
Contact information
Practice address
830 AMHERST RD NE, SUITE 204, MASSILLON, OH 44646-8518
(330) 837-6812
(330) 837-0755
Mailing address
3545 LINCOLN WAY E STE A, MASSILLON, OH 44646-8624
(330) 837-5191
(330) 837-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355142
—
OH
01
—
CM0456
RAILROAD MEDICARE
OH
Enumeration date
09/06/2006
Last updated
08/08/2012
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