Organization
PROMEDICA CENTRAL PHYSICIANS LLC
Active
Other names
ProMedica Physicians Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L DWYER (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
3165 NAVARRE AVE, OREGON, OH 43616-4348
(419) 698-2350
(419) 698-8669
Mailing address
3165 NAVARRE AVE, OREGON, OH 43616-4348
(419) 698-2350
(419) 698-8669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OH
207W00000X
Ophthalmology Physician
—
OH
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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