Vitreo-Retinal Consultants, Inc.

LBN: Vitreo-Retinal Consultants, Inc.
Vitreo-Retinal Consultants, Inc. is an health care organization with primary practice located at 4676 Douglas Cir Nw , Canton OH 44718-3619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Vitreo-Retinal Consultants, Inc. can be contacted via phone (330) 494-1116, or through Gersman, Mark A. via phone (330) 494-1116.

Contact Information

Primary practice address
4676 Douglas Cir Nw Canton OH 44718-3619
Phone: (330) 494-1116
Fax: (330) 494-0276
Website:
Map and Directions
Authorized official contact:
Name: Gersman, Mark A. Doctor of Medicine (MD)
Phone: (330) 494-1116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1750347662
LBN Legal business name Vitreo-Retinal Consultants, Inc.
DBA Doing business as
Authorized official Gersman, Mark A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Oct 6th, 2021 - about 5 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 1750347662 NPPES
Pennsylvania MEDICAID 0015118480004
Pennsylvania MEDICAID 0693576
Pennsylvania MEDICAID 6300115000

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