Healthcare Provider Details

I. General information

NPI: 1053469122
Provider Name (Legal Business Name): CINCINNATI EYE PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7527 STATE RD STE A
CINCINNATI OH
45255-6408
US

IV. Provider business mailing address

7527 STATE RD STE A
CINCINNATI OH
45255-6408
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-5550
  • Fax: 513-232-3510
Mailing address:
  • Phone: 513-232-5550
  • Fax: 513-232-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number35046479
License Number StateOH

VIII. Authorized Official

Name: MRS. PATTI ANN KLINE
Title or Position: OFFICE MANAGER
Credential:
Phone: 513-232-5550