Provider Demographics
NPI:1477850071
Name:PARSCHAUER EYE CENTER INC
Entity Type:Organization
Organization Name:PARSCHAUER EYE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARSCHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:419-625-6181
Mailing Address - Street 1:2600 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5311
Mailing Address - Country:US
Mailing Address - Phone:419-625-6181
Mailing Address - Fax:419-625-7493
Practice Address - Street 1:126 S. FRONT ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420
Practice Address - Country:US
Practice Address - Phone:419-334-9779
Practice Address - Fax:419-334-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0965219Medicaid