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Modern Eyecare Llc

Modern Eyecare Llc is a health care provider in Continental, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 102 West Ash Street, Continental, OH 45831-9181, US
Practice Location Phone419-596-3062
Practice Location Fax
Legal Business NameMODERN EYECARE LLC
NPI ?1245476191
Entity TypeOrganization
Enumeration Date ? Dec 24, 2008
Last Update Date ? May 3, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Modern Eyecare Llc

SpecialtySpecializationLicenseLicense State
Optometrist

legacy-id-icon Legacy Provider IDs of Modern Eyecare Llc

Provider IdIssuer StateIssuer TypeIssuer
DR1222OhioMedicare Pin
6210450001OhioMedicare Nsc
9380961OhioMedicare Pin

official-icon Authorized Official of Modern Eyecare Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Modern Eyecare Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Joy M Ellerbrock (O.D.)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number419-615-3802