Organization Name: | OHIO VISION OF TOLEDO,INC. |
NPI Number: | 1053342238 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM G. MARTIN (MEDICAL DIRECTOR) |
Mailing Address: | 2740 Navarre Ave Oregon |
State: | OH US |
Postal Code: | 436163216 |
Phone Number: | 4196394444 |
Fax Number: | 4196972149 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | 0066AS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |