Organization
NORTHERN OHIO EYE CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F WILEY MD (PRESIDENT)
(440) 526-1974
Entity
Organization
Contact information
Practice address
1710 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3680
(440) 960-2020
(440) 282-3300
Mailing address
1710 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3680
(440) 960-2020
(440) 282-3300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2410395
—
OH
01
—
5426680001
DMERC
OH
01
—
DD1244
RR MEDICARE
OH
Enumeration date
01/17/2006
Last updated
10/03/2019
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