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Contact Information

DR PATRICK HENRY OD LLC
6790 PROVIDENCE ST
WHITEHOUSE, OH43571
 Phone: 419-877-1188
 Fax: 419-877-1156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR PATRICK HENRY OD LLC

NPI Number 1164642435
LBN Legal business name DR PATRICK HENRY OD LLC
Authorized official HOPE WCISLAK - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2007
Last updated 07/01/2008 - About 18 years ago
Identifiers
OH License # OH5163
OH Medicaid 2196672
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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