| Wooster Ophthalmologists, Inc. | |
|
3519 Friendsville Rd, Wooster, OH 44691-1241 | |
| (330) 345-7200 | |
| (330) 345-8029 |
| Full Name | Wooster Ophthalmologists, Inc. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3519 Friendsville Rd, Wooster, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780629337 | NPI | - | NPPES |
| 0458115 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Mark A Gersman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205839552 PECOS PAC ID: 9335036326 Enrollment ID: I20040303000974 |
| Provider Name | Anson T Miedel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457348518 PECOS PAC ID: 8628093374 Enrollment ID: I20070723000103 |
| Provider Name | Jeffrey W Perkins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346269958 PECOS PAC ID: 4880699305 Enrollment ID: I20090904000093 |
| Provider Name | Scott Richard Steiner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437354727 PECOS PAC ID: 4789715095 Enrollment ID: I20100701000005 |
| Provider Name | Sophia I Pachydaki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316001720 PECOS PAC ID: 5092809848 Enrollment ID: I20120524000312 |
| Provider Name | Ryan E Chenevey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013371152 PECOS PAC ID: 9537452610 Enrollment ID: I20200708002719 |
| Provider Name | Baha Eddin El Khatib |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417481946 PECOS PAC ID: 4789087370 Enrollment ID: I20230920002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Wooster Ophthalmologists, Inc. 3519 Friendsville Rd, Wooster, OH 44691-1241 Ph: (330) 345-7200 | Wooster Ophthalmologists, Inc. 3519 Friendsville Rd, Wooster, OH 44691-1241 Ph: (330) 345-7200 |