Organization
DAYTON EYECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L PEETS D.O. (OWNER)
(937) 898-2300
Entity
Organization
Contact information
Practice address
8216 N MAIN ST, DAYTON, OH 45415-1641
(937) 898-2300
(937) 898-2348
Mailing address
8216 N MAIN ST, DAYTON, OH 45415-1641
(937) 898-2300
(937) 898-2348
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34-00-5391-P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019509
ANTHEM
OH
05
—
0129515
—
OH
01
—
0820241
UHC
OH
01
—
38552917200
WORKERS COMP
OH
01
—
385529172002
MMOH
OH
01
—
4663078
AETNA
OH
Enumeration date
05/04/2006
Last updated
04/25/2018
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