Organization
AUGLAIZE FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M PRICE OD (OWNER)
(419) 738-2715
Entity
Organization
Contact information
Practice address
1201 DEFIANCE ST, SUITE A, WAPAKONETA, OH 45895-1086
(419) 738-2715
(419) 738-2815
Mailing address
1201 DEFIANCE ST, SUITE A, WAPAKONETA, OH 45895-1086
(419) 738-2715
(419) 738-2815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5062 T1939
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000617762
ANTHEM BCBS
OH
01
—
104689500-00
BWC
OH
05
—
2983580
—
OH
01
—
6138
PARAMOUNT HEALTH CARE
OH
Enumeration date
04/23/2009
Last updated
10/14/2010
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