Provider Demographics
NPI:1659521391
Name:MOBILE MEDICAL, INC.
Entity Type:Organization
Organization Name:MOBILE MEDICAL, INC.
Other - Org Name:ONSIGHT HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:FELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:502-813-4415
Mailing Address - Street 1:100 W BIG BEAVER RD
Mailing Address - Street 2:SUITE 655
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-5208
Mailing Address - Country:US
Mailing Address - Phone:248-528-1981
Mailing Address - Fax:248-528-2183
Practice Address - Street 1:740 COMMERCE DR STE A
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5276
Practice Address - Country:US
Practice Address - Phone:502-244-2420
Practice Address - Fax:502-996-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2990607Medicaid
OH9303471Medicare PIN