OrganizationActive
William Kegerize OD LLC
NPI 1972834307 · Exclusive Provider Organization · Genoa, OH
Provider details
- NPI number
- 1972834307
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Parent organization
- William Kegerize OD LLC
- Organization subpart
- Yes
- Authorized official
- William Kegerize, Owner(419) 855-3640
- License
- OH5558 (OH)
Specialties & taxonomies
Managed Care Organizations
Practice location
603 Main St
Genoa, OH 43430-1635
Phone: (419) 855-3640
Fax: (419) 855-4743
Approximate (ZIP-level) locationGet directions
Mailing address
603 Main St
Genoa, OH 43430-1635
Other names (DBA / former)
- Doing business as
- Genoa Family Eyecare
Registry dates
- Enumerated
- 2010-01-25
- Last updated
- 2016-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.