Organization Name: | OAKWOOD EYE CLINIC |
NPI Number: | 1679765994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PARK ALAN STUDEBAKER (PHYSCIAN OWNER) |
Mailing Address: | 2525 Far Hills Ave Dayton |
State: | OH US |
Postal Code: | 454191505 |
Phone Number: | 9372980550 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 3639 T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |