Organization
ELYRIA EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY H. THOMAS M.D. (PRESIDENT)
(440) 366-9411
Entity
Organization
Contact information
Practice address
850 E BROAD ST, ELYRIA, OH 44035-6559
(440) 366-9411
(440) 366-9403
Mailing address
850 E BROAD ST, ELYRIA, OH 44035-6559
(440) 366-9411
(440) 366-9403
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35051885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0592701
—
OH
Enumeration date
12/06/2006
Last updated
01/11/2012
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