Healthcare Provider Details

I. General information

NPI: 1184638173
Provider Name (Legal Business Name): EYE PHYSICIANS & SURGEONS OF ATHENS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HOSPITAL DR SUITE 110
ATHENS OH
45701
US

IV. Provider business mailing address

75 HOSPITAL DR SUITE 110
ATHENS OH
45701
US

V. Phone/Fax

Practice location:
  • Phone: 740-592-4461
  • Fax: 740-592-5899
Mailing address:
  • Phone: 740-592-4461
  • Fax: 740-592-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY Y MCADOO
Title or Position: PRESIDENT
Credential: MD
Phone: 740-592-4461