| Dr Brian E Wind, DO | |
|
3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 | |
| (330) 837-5191 | |
| (330) 837-0755 |
| Full Name | Dr Brian E Wind |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 3545 Lincoln Way E, Massillon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164415147 | NPI | - | NPPES |
| 0929875 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 34. 005043 (Ohio) | Primary |
| Entity Name | The Eye Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689937229 PECOS PAC ID: 4880614338 Enrollment ID: O20051129001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian E Wind, DO 3545 Lincoln Way E, Suite A, Massillon, OH 44646-3707 Ph: (330) 837-5191 | Dr Brian E Wind, DO 3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 Ph: (330) 837-5191 |
Dr. Richard L Fuller, D.O. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3545 Lincoln Way E, Suite A, Massillon, OH 44646 Phone: 330-837-5191 Fax: 330-837-0755 | |
Dr. Michael Glenn Wood, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3545 Lincoln Way E, Suite A, Massillon, OH 44646 Phone: 330-837-5191 Fax: 330-837-0755 |