| Ottawa Eyecare Llc | |
|
1518 N Perry St, Ottawa, OH 45875-1167 | |
| (419) 523-5670 | |
| (419) 523-4025 |
| Full Name | Ottawa Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1518 N Perry St, Ottawa, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124364732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Shane M Maag |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609003763 PECOS PAC ID: 1658426044 Enrollment ID: I20090909000199 |
| Provider Name | Diane Sue Dible |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235209610 PECOS PAC ID: 9234151739 Enrollment ID: I20100626000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa Eyecare Llc 1518 N Perry St, Ottawa, OH 45875-1167 Ph: (419) 523-5670 | Ottawa Eyecare Llc 1518 N Perry St, Ottawa, OH 45875-1167 Ph: (419) 523-5670 |
Dr. Brice Russell Musser, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Dr. Thatye Drive, Ottawa, OH 45875 Phone: 419-538-6273 Fax: 419-538-7273 | |
Thomas E Bauer Od And Diane S Dible Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1518 N Perry St, Ottawa, OH 45875 Phone: 419-523-5670 Fax: 419-523-4025 | |
Diane Sue Dible, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1518 N Perry St, Ottawa, OH 45875 Phone: 419-523-5670 Fax: 419-523-4025 | |
Thomas Edward Bauer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1518 N Perry St, Ottawa, OH 45875 Phone: 419-523-5670 Fax: 419-523-4025 | |
Putnam Parkway Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 102 Putnam Pkwy Ste B, Ottawa, OH 45875 Phone: 419-523-3937 Fax: 419-523-3944 | |
Dr. Teresa Marie Rohrs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 Putnam Pkwy # B, Ottawa, OH 45875 Phone: 419-523-3937 |