Organization
NORTH CENTRAL EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL DEAN OBENAUF M.D. (PRESIDENT)
(419) 668-3295
Entity
Organization
Contact information
Practice address
278 BENEDICT AVE, STE. 300 MEDICAL PARK III, NORWALK, OH 44857-2399
(419) 668-3295
(419) 668-8861
Mailing address
278 BENEDICT AVE, STE. 300 MEDICAL PARK III, NORWALK, OH 44857-2399
(419) 668-3295
(419) 668-8861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709031
—
OH
01
—
CF1305
PALMETO GBA RAILROAD
OH
Enumeration date
11/09/2005
Last updated
04/20/2008
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