Provider Demographics
NPI:1477252609
Name:ALEXADER, VICTOR DARNELL
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:DARNELL
Last Name:ALEXADER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 MONROE ST STE 232
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3461
Mailing Address - Country:US
Mailing Address - Phone:419-574-9290
Mailing Address - Fax:
Practice Address - Street 1:5151 MONROE ST STE 232
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3461
Practice Address - Country:US
Practice Address - Phone:419-574-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist