Provider Demographics
NPI:1598869646
Name:PAJKA EYE CENTER INC
Entity Type:Organization
Organization Name:PAJKA EYE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:PAJKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-228-7432
Mailing Address - Street 1:855 W MARKET ST
Mailing Address - Street 2:STE A
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805
Mailing Address - Country:US
Mailing Address - Phone:419-228-7432
Mailing Address - Fax:419-228-5628
Practice Address - Street 1:200 ST CLAIR
Practice Address - Street 2:JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL
Practice Address - City:ST MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885
Practice Address - Country:US
Practice Address - Phone:419-228-7432
Practice Address - Fax:419-228-5628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHL0815112Medicaid
OHL0815112Medicaid