Healthcare Provider Details
I. General information
NPI: 1386867505
Provider Name (Legal Business Name): OHIO VALLEY EYE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4604 US HIGHWAY 60 W
MORGANFIELD KY
42437-6515
US
IV. Provider business mailing address
4604 US HIGHWAY 60 W
MORGANFIELD KY
42437-6515
US
V. Phone/Fax
- Phone: 812-421-2020
- Fax: 812-422-1189
- Phone: 812-421-2020
- Fax: 812-422-1189
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
A
REITZ
Title or Position: CREDENTIALIST
Credential:
Phone: 812-421-2020