Organization
JOSEPH D SCHWALLIE OD INC
Active
Other names
Oracle Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOE D SCHWALLIE OD (PRESIDENT)
(419) 865-7125
Entity
Organization
Contact information
Practice address
7121 ORCHARD CENTRE DR, HOLLAND, OH 43528-7975
(419) 865-7125
Mailing address
7121 ORCHARD CENTRE DR, HOLLAND, OH 43528-7975
(419) 865-7125
(419) 865-8337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851124
MEDICARE PROVIDER#
OH
Enumeration date
11/01/2006
Last updated
11/16/2007
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