Individual
DR. KURT L EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15840 MEDICAL DRIVE SOUTH, SUITE A, FINDLAY, OH 45840
(419) 422-6190
(419) 423-3235
Mailing address
15840 MEDICAL DRIVE SOUTH, SUITE A, FINDLAY, OH 45840
(419) 422-6190
(419) 423-3235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129592
ANTHEM BC/BS
OH
05
—
0893083
—
OH
01
—
3408
STATE LICENSE
OH
01
—
4628541
AETNA
OH
Enumeration date
07/27/2005
Last updated
03/07/2023
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