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NPI Code Detail

MEDICARE: FAMILY VISION CARE CENTERS LLC

MEDICARE: FAMILY VISION CARE CENTERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier1538 SCOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124235817
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY VISION CARE CENTERS LLC
Provider Business Mailing Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-761-1616
Fax Number : 513-761-5523
Provider Business Practice Location Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-761-1616
Fax Number : 513-761-5523
Authorized Official
Title or Position : OPTICIAN
Name : MR. MATTHEW BARNES
Credential : OPTICIAN
Telephone Number : 513-761-1616
Provider Enumeration Date : 05/16/2007
Last Update Date : 11/14/2008

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Directions to “FAMILY VISION CARE CENTERS LLC ” Practice Location

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