John Douglas Emch OD
Organization Active NPI Optometrist · Archbold, OH
NPI 1457526600 · NPPES record last updated Dec 17, 2010
Key facts
- NPI
- 1457526600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 3230T421 (OH)
- Legal business name
- JOHN DOUGLAS EMCH OD
- Practice address
- 700 Stryker St
Archbold, OH 43502 - Phone
- (419) 445-0436
- Fax
- (419) 445-2697
- NPI assigned
- Apr 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. John Douglas Emch
- Title
- OD
- Phone
- (419) 445-0436
Practitioners 1
-
Andrew John Emch, O.D.
National Provider Directory
Locations
700 Stryker St
Archbold, OH 43502
Phone (419) 445-0436
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 3230T421 | OH | Yes |
Addresses
Primary practice location
700 Stryker St
Archbold, OH 43502
Mailing address
PO Box 93
Archbold, OH 43502
Phone (419) 445-0436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0314403 | Medicaid | OH |
Other providers in Archbold, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2010. 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.