Eye Centers of Northwest Ohio LLC

NPI #1124284518 in Fremont, Ohio

Provider Information

NPI Number: 1124284518
Entity Type: Organization
Organization Name: Eye Centers of Northwest Ohio LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 5, 2008
Last Updated: Mar 23, 2009

Practice Location

Address: 2311 HAYES AVE
Address 2: SUITE B
City: Fremont
State: Ohio
ZIP Code: 43420-2634
Phone: (419) 334-8121

Authorized Official

Name: GREG J DERODES, O.D.
Title: PRESIDENT
Phone: (419) 334-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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