Provider Demographics
NPI:1366611923
Name:ROBERT C. LAYMAN O.D. , INC.
Entity type:Organization
Organization Name:ROBERT C. LAYMAN O.D. , INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FRONT DESK
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-843-2020
Mailing Address - Street 1:3723 KING RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1417
Mailing Address - Country:US
Mailing Address - Phone:419-843-2020
Mailing Address - Fax:419-843-8733
Practice Address - Street 1:3723 KING RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1417
Practice Address - Country:US
Practice Address - Phone:419-843-2020
Practice Address - Fax:419-843-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3620/T535152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty