Healthcare Provider Details

I. General information

NPI: 1821175373
Provider Name (Legal Business Name): ERIC E. NEADER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 N LIBERTY ST
POWELL OH
43065-8870
US

IV. Provider business mailing address

3464 VILLAGE CLUB DR
POWELL OH
43065-8184
US

V. Phone/Fax

Practice location:
  • Phone: 614-793-0700
  • Fax: 614-987-6610
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2479DT
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT003636
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6609
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5499
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: