| Dr Jerome Sude, OD | |
|
3510 Manchester Rd, Coventry Township, OH 44319-1415 | |
| (330) 753-2100 | |
| (330) 633-7165 |
| Full Name | Dr Jerome Sude |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 54 Years |
| Location | 3510 Manchester Rd, Coventry Township, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982607727 | NPI | - | NPPES |
| 1418274 | Other | OH | UNITED HEALTHCARE |
| 410022025 | Other | OH | RAILROAD MEDICARE |
| 0655759 | Other | OH | AETNA HMO |
| 341572960B | Other | OH | SUMMA |
| 728946 | Other | OH | BUCKEYE |
| 000000134329 | Other | OH | ANTHEM |
| 4338408 | Other | OH | AETNA PPO |
| 0505046 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3046/T812 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cei Physicians Psc, Llc | 0749186427 | 150 |
| Provider Name | Cei Physicians Psc, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942296298 PECOS PAC ID: 0749186427 Enrollment ID: O20031211001059 |
| Provider Name | Clarkson Optometry Midwest Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20150113001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerome Sude, OD Po Box 207170, Dallas, TX 75320-2117 Ph: (636) 200-4393 | Dr Jerome Sude, OD 3510 Manchester Rd, Coventry Township, OH 44319-1415 Ph: (330) 753-2100 |
Dr. Lisa M Testa, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2694 S Main St, Coventry Township, OH 44319 Phone: 330-785-5111 Fax: 330-785-5114 | |
Zachary Charles Sherman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3510 Manchester Rd, Coventry Township, OH 44319 Phone: 330-753-2100 Fax: 330-633-7165 | |
Midwest Eye Consultants Ohio, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3235 Manchester Rd Ste 1, Coventry Township, OH 44319 Phone: 330-664-7138 | |
Clarkson Optometry Midwest Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3510 Manchester Rd, Coventry Township, OH 44319 Phone: 330-753-2100 Fax: 330-633-7165 | |
Meagan Marie Mahoney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3510 Manchester Rd, Coventry Township, OH 44319 Phone: 330-753-2100 Fax: 330-633-7165 | |
Nikita Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3510 Manchester Rd, Coventry Township, OH 44319 Phone: 330-753-2100 Fax: 330-633-7165 |