Provider Demographics
NPI:1275696999
Name:TOPLEK-SWARTZ, MARIANA MELISSA (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:MELISSA
Last Name:TOPLEK-SWARTZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 EWING CRAWFIS CIR
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-9042
Mailing Address - Country:US
Mailing Address - Phone:937-593-1766
Mailing Address - Fax:937-593-1557
Practice Address - Street 1:2150 EWING CRAWFIS CIR
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9042
Practice Address - Country:US
Practice Address - Phone:937-593-1766
Practice Address - Fax:937-593-1557
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4598152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2499934Medicaid
OH5251050001OtherDMERC
OH410028810OtherMEDICARE RAILROAD
OHTO0785552Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
OH2499934Medicaid
OH5251050001OtherDMERC