Organization
LAKE ERIE FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER S FELBINGER O.D. (OPTOMETRIST)
(419) 734-2106
Entity
Organization
Contact information
Practice address
222 JEFFERSON ST, PORT CLINTON, OH 43452-1141
(419) 734-2106
(419) 734-3792
Mailing address
222 JEFFERSON ST, PORT CLINTON, OH 43452-1141
(419) 734-2106
(419) 734-3792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3027/T449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510602
ANTHEM BCBS
OH
01
—
000000519919
ANTHEM BCBS
OH
01
—
02487
PARAMOUNT HEALTH CARE
OH
05
—
0257181
—
OH
01
—
04231
PARAMOUNT HEALTH CARE
OH
05
—
2284611
—
OH
05
—
2628704
—
OH
01
—
298423149006
MEDICAL MUTUAL OF OHIO
OH
01
—
300709331004
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
10/04/2006
Last updated
01/06/2011
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