Dreffer, Hicks, & Demos O.D. Inc.
Organization Active NPI Optometrist · Clyde, OH
NPI 1043330871 · NPPES record last updated Mar 27, 2014
Key facts
- NPI
- 1043330871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 5022 (OH)
- Legal business name
- DREFFER, HICKS, & DEMOS O.D. INC.
- Practice address
- 1074 West McPherson Highway
Clyde, OH 43410 - Phone
- (419) 547-9126
- Fax
- (419) 547-0387
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Heather M Demos, O.D.
- Title
- Optomotrist
- Phone
- (419) 547-9126
National Provider Directory
Locations
1074 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-9126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5022 | OH | Yes |
Addresses
Primary practice location
1074 West McPherson Highway
Clyde, OH 43410
Mailing address
1074 West McPherson Highway
Clyde, OH 43410
Phone (419) 547-9126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2276059 | Medicaid | OH |
Other names
- Family Eye Care Centers
Other providers in Clyde, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.