Healthcare Provider Details

I. General information

NPI: 1073646808
Provider Name (Legal Business Name): LIMA EYE SURGEONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HIGH ST SUITE 210
LIMA OH
45801-2969
US

IV. Provider business mailing address

750 W HIGH ST SUITE 210
LIMA OH
45801-2969
US

V. Phone/Fax

Practice location:
  • Phone: 419-224-3937
  • Fax: 419-224-2144
Mailing address:
  • Phone: 419-224-3937
  • Fax: 419-224-2144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35-81926
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STEPHEN P FOX
Title or Position: PRESIDENT - OWNER
Credential: M.D.
Phone: 419-224-3937