MEDICARE: EOY,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4233	OH

General Provider Information

NPI Number	:	1710029640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EOY,LLC

Provider Business Mailing Address
First Line	:	3026 GOLDEN OAK DR
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7981
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1374 GRANDVIEW AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2803
Country	:	US
Telephone Number	:	614-488-1180
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHERRI REED
Credential	:
Telephone Number	:	614-488-1180

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	12/11/2007

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Directions to “EOY,LLC ” Practice Location

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