Healthcare Provider Details

I. General information

NPI: 1497879944
Provider Name (Legal Business Name): GIOVANETTI EYECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5537 BRIDGETOWN ROAD
CINCINNATI OH
45248-4329
US

IV. Provider business mailing address

5537 BRIDGETOWN ROAD
CINCINNATI OH
45248-4329
US

V. Phone/Fax

Practice location:
  • Phone: 513-574-2233
  • Fax: 513-574-3937
Mailing address:
  • Phone: 513-574-2233
  • Fax: 513-574-3937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL L. GIOVANETTI
Title or Position: CORPORATE OFFICER
Credential: O.D.
Phone: 513-574-2233