Perrysburg Eye Center, Inc.

NPI #1366475139 in Perrysburg, Ohio

Provider Information

NPI Number: 1366475139
Entity Type: Organization
Organization Name: Perrysburg Eye Center, Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Jul 7, 2006
Last Updated: Sep 10, 2014

Practice Location

Address: 28370 KENSINGTON LN
Address 2: SUITE A
City: Perrysburg
State: Ohio
ZIP Code: 43551-4163
Phone: (419) 874-3125

Authorized Official

Name: DR. STEPHEN E CLARK, M.D.
Title: PRESIDENT/MEDICAL DIRECTOR
Phone: (419) 874-3125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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