Organization
OHIO EYE ASSOCIATES, INC.
Active
Organization
OHIO EYE ASSOCIATES, INC.
Active
Other names
Ohio Eye Associates Eye Surgery & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M SKARIE MD (OWNER)
(419) 756-8000
Entity
Organization
Contact information
Practice address
466 S TRIMBLE RD, SUITE C, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-7100
Mailing address
466 S TRIMBLE RD, SUITE C, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-7100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
70041418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128146
ANTHEM BC/BS
OH
05
—
0125028
—
OH
01
—
490000960
RAIL ROAD MEDICARE
OH
01
—
5734290
AETNA
OH
Enumeration date
05/26/2006
Last updated
03/08/2021
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