Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1265462881 |
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| LBN Legal business name | WOOSTER OPHTHALMOLOGISTS, INC. | ||||||||
| Authorized official | JEFFREY PERKINS - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 07/03/2006 | ||||||||
| Last updated | 03/06/2023 - About 3 years ago | ||||||||
| Identifiers |
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