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Organization

PROMEDICA CENTRAL PHYSICIANS

Active
Other names
ProMedica Physicians Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA WINES (DIRECTOR)
(567) 585-0422
Entity
Organization

Contact information

Practice address
5700 MONROE ST UNIT 211, SYLVANIA, OH 43560-2737
(419) 776-1004
(419) 776-1020
Mailing address
100 MADISON AVE FL 3, TOLEDO, OH 43604-1516

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH
156F00000X
Technician/Technologist
OH
207W00000X
Ophthalmology Physician
OH

Other

Enumeration date
04/10/2014
Last updated
10/13/2025
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