Organization
DANIEL J. MAYER, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MAYER (MANAGER)
(330) 725-4174
Entity
Organization
Contact information
Practice address
4067 N JEFFERSON ST, MEDINA, OH 44256-5622
(330) 725-4174
(330) 725-4080
Mailing address
4067 N JEFFERSON ST, MEDINA, OH 44256-5622
(330) 725-4174
(330) 725-4080
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
053557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029208
BCBS
OH
05
—
0628128
—
OH
01
—
CN7360
RETIRED RAILROAD MEDICARE
OH
Enumeration date
10/30/2007
Last updated
03/06/2008
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