| Ophthalmology & Oculoplastic Surgery Inc | |
|
150 7th Ave, Suite 100, Chardon, OH 44024-2908 | |
| (440) 285-2020 | |
| (440) 285-8448 |
| Full Name | Ophthalmology & Oculoplastic Surgery Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 150 7th Ave, Chardon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073713400 | NPI | - | NPPES |
| CG4745 | Other | OH | RAILROAD MEDICARE |
| 2841689 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5012T188 (Ohio) | Secondary |
| 207W00000X | Ophthalmology | 35060480 (Ohio) | Primary |
| Provider Name | Augustine J Kellis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437193828 PECOS PAC ID: 5193621852 Enrollment ID: I20040211000873 |
| Provider Name | Gene A Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396950184 PECOS PAC ID: 1557417763 Enrollment ID: I20090914000001 |
| Provider Name | John William Langel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821449406 PECOS PAC ID: 5092082859 Enrollment ID: I20170525002532 |
| Provider Name | Mark Armando Prendes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073874954 PECOS PAC ID: 0648418160 Enrollment ID: I20180830002880 |
| Provider Name | Ryan Zaidinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255952669 PECOS PAC ID: 7315368925 Enrollment ID: I20200608002206 |
| Mailing Address | Practice Location Address |
|---|---|
| Ophthalmology & Oculoplastic Surgery Inc 150 7th Ave Ste 100, Chardon, OH 44024-2909 Ph: (440) 285-2020 | Ophthalmology & Oculoplastic Surgery Inc 150 7th Ave, Suite 100, Chardon, OH 44024-2908 Ph: (440) 285-2020 |