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General NPI Number Information
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NPI Number | 1417093873
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Entity Type | Organization
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Legal Business Name | LCA-VISION INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8705 PERIMETER BLVD SUITE 10
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-482-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 7840 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45236-4301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | V.P. MANAGED CARE
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Name | SCOTT KIRK
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Credential |
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Telephone | 800-688-4550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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