Perrysburg Eye Center, Inc.

LBN: Perrysburg Eye Center, Inc.
Perrysburg Eye Center, Inc. is an health care organization with primary practice located at 28370 Kensington Ln Suite A, Perrysburg OH 43551-4163. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Perrysburg Eye Center, Inc. can be contacted via phone (419) 874-3125, or through Clark, Stephen E via phone (419) 874-3125.

Contact Information

Primary practice address
28370 Kensington Ln Suite A Perrysburg OH 43551-4163
Phone: (419) 874-3125
Fax: (419) 874-8606
Website:
Map and Directions
Authorized official contact:
Name: Clark, Stephen E Doctor of Medicine (MD)
Phone: (419) 874-3125

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1366475139
LBN Legal business name Perrysburg Eye Center, Inc.
DBA Doing business as
Authorized official Clark, Stephen E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 10th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366475139 NPPES
Ohio MEDICAID 2415265

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