Madison Eye Care of Port Clinton LLC

NPI #1427748243 in Port Clinton, Ohio

Provider Information

NPI Number: 1427748243
Entity Type: Organization
Organization Name: Madison Eye Care of Port Clinton LLC
Primary Specialty: Optometrist
Enumeration Date: May 15, 2023
Last Updated: May 15, 2023

Practice Location

Address: 820 JEFFERSON ST
City: Port Clinton
State: Ohio
ZIP Code: 43452-2416
Phone: (419) 732-2828

Authorized Official

Name: DR. KYLE KOUBEK, OD
Title: DOCTOR/PART OWNER
Phone: (440) 892-5367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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