Organization
OHIO EYE CARE CONSULTANTS, LLC
Active
Other names
Northeast Ohio Eye Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L PERRIN (PRACTICE ADMINISTRATOR)
(330) 722-8300
Entity
Organization
Contact information
Practice address
3583 RESERVE COMMONS DR, MEDINA, OH 44256-8180
(330) 722-8300
(330) 725-0445
Mailing address
3583 RESERVE COMMONS DR, MEDINA, OH 44256-8180
(330) 722-8300
(330) 725-0445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292120
ANTHEM
—
05
—
2666164
—
OH
Enumeration date
03/28/2007
Last updated
08/03/2020
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