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Organization

FOSTORIA EYECARE INC

Active
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Organization

FOSTORIA EYECARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRED W. SKULINA OD (OWNER)
(419) 435-3323
Entity
Organization

Contact information

Practice address
799 N VINE ST, FOSTORIA EYECARE INC, FOSTORIA, OH 44830
(419) 435-3323
(419) 435-7834
Mailing address
799 N VINE ST, FOSTORIA, OH 44830
(419) 435-3323
(419) 435-7834

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4314 T655
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0921924
OH
Enumeration date
10/06/2006
Last updated
03/18/2008
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