Organization
STACY G. PASCH, O.D. INC
Active
Organization
STACY G. PASCH, O.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY PASCH RELLINGER O.D. (OWNER)
(419) 333-9638
Entity
Organization
Contact information
Practice address
2355 HAYES AVE, FREMONT, OH 43420-2634
(419) 333-9638
(419) 332-0168
Mailing address
2355 HAYES AVE, FREMONT, OH 43420-2634
(419) 333-9638
(419) 332-0168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339206
OHIO BLUE CROSS BLUESHIEL
OH
05
—
2321875
—
OH
01
—
28482346004
MEDICAL MUTUAL OF OHIO
OH
01
—
9331911
MEDICARE GROUP PIN
OH
01
—
DA9205
RAILROAD MEDICARE GRP NUM
—
01
—
P00078028
RAILROAD MEDICARE PIN
—
Enumeration date
07/14/2005
Last updated
01/30/2008
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