Healthcare Provider Details

I. General information

NPI: 1326173964
Provider Name (Legal Business Name): ALLIED EYE PHYSICIANS & SURGEONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 FAR HILLS AVE SUITE 207
DAYTON OH
45429-2382
US

IV. Provider business mailing address

5250 FAR HILLS AVE SUITE 207
DAYTON OH
45429-2382
US

V. Phone/Fax

Practice location:
  • Phone: 937-433-2300
  • Fax: 937-433-0210
Mailing address:
  • Phone: 937-433-2300
  • Fax: 937-433-0210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARSHALL C WAREHAM
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-433-2300