Organization
NORTHWEST EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY L. DARNELL O.D. (OWNER)
(419) 337-6371
Entity
Organization
Contact information
Practice address
132 N FULTON ST, WAUSEON, OH 43567-1353
(419) 337-6371
(419) 337-6300
Mailing address
PO BOX 395, WAUSEON, OH 43567-0395
(419) 337-6371
(419) 337-6300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3714 T858
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0543817
—
OH
Enumeration date
05/03/2007
Last updated
03/09/2012
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