Healthcare Provider Details

I. General information

NPI: 1992628820
Provider Name (Legal Business Name): MIDWEST NEURO OPHTHALMOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 FISHINGER BLVD STE 200
HILLIARD OH
43026-7500
US

IV. Provider business mailing address

2504 ONANDAGA DR
COLUMBUS OH
43221-3620
US

V. Phone/Fax

Practice location:
  • Phone: 614-937-9663
  • Fax:
Mailing address:
  • Phone: 614-937-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN E KATZ
Title or Position: OWNER
Credential: MD
Phone: 614-937-9663