Ohio Eye Optometric, LLC

NPI #1548081698 in Ontario, Ohio

Provider Information

NPI Number: 1548081698
Entity Type: Organization
Organization Name: Ohio Eye Optometric, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OHIO EYE OPTOMETRIC, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 22, 2024
Last Updated: Oct 22, 2024

Practice Location

Address: 1991 PARK AVE W
City: Ontario
State: Ohio
ZIP Code: 44906-2233
Phone: (419) 756-8000

Authorized Official

Name: STACY ELLIS
Title: CREDENTIALING SPECIALIST
Phone: (419) 774-3402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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