Organization
C AND G EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY E CONTNER O.D. (OWNER)
(937) 599-5315
Entity
Organization
Contact information
Practice address
1008 N MAIN ST, BELLEFONTAINE, OH 43311-2371
(937) 599-5315
(937) 599-1185
Mailing address
1008 N MAIN ST, BELLEFONTAINE, OH 43311-2371
(937) 599-5315
(937) 599-1185
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3526
OH
152WC0802X
Corneal and Contact Management Optometrist
4696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215387
—
OH
05
—
0566105
—
OH
01
—
CO0505491
PALMETTO GBA
—
01
—
GA0793641
PALMETTO GBA
OH
01
—
P00221595
UNITED HEALTHCARE RAILROAD MEDICARE
OH
Enumeration date
03/06/2008
Last updated
07/02/2008
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