IndividualActive
Kenneth Gortz, O.D.
NPI 1295973154 · Optometrist · Willard, OH
Provider details
- NPI number
- 1295973154
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2891 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
421a E Walton St
Willard, OH 44890-9108
Phone: (419) 933-4327
Fax: (419) 933-4336
Approximate (ZIP-level) locationGet directions
Mailing address
1500 S County Road 1
Tiffin, OH 44883-9746
Registry dates
- Enumerated
- 2009-01-30
- Last updated
- 2016-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.