Healthcare Provider Details

I. General information

NPI: 1356526818
Provider Name (Legal Business Name): OAKLEY SQUARE EYE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3039 MADISON ROAD
CINCINNATI OH
45227-1709
US

IV. Provider business mailing address

3039 MADISON RD
CINCINNATI OH
45209-1709
US

V. Phone/Fax

Practice location:
  • Phone: 513-651-4005
  • Fax:
Mailing address:
  • Phone: 513-651-4005
  • Fax: 513-651-4006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILLIP E APFEL
Title or Position: OWNER
Credential:
Phone: 513-651-4005