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NPI Code Detail

MEDICARE: WING EYECARE

MEDICARE: WING EYECARE
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
1152W00000XOptometrist4131OH

General Provider Information

NPI Number : 1184175333
Entity Type Code : Organization
Provider Name (Legal Business Name) : WING EYECARE
Provider Business Mailing Address
First Line : 2920 GLENDALE MILFORD RD
Second Line : SUITE 220
City : CINCINNATI
State : OH
Zip : 45241-3131
Country : US
Telephone Number : 513-922-9000
Fax Number : 513-922-4050
Provider Business Practice Location Address
First Line : 5305 GLENWAY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3706
Country : US
Telephone Number : 513-251-9464
Fax Number : 513-347-0078
Authorized Official
Title or Position : OWNER
Name : THOMAS NAGY
Credential : O.D.
Telephone Number : 513-557-3666
Provider Enumeration Date : 10/21/2016
Last Update Date : 10/21/2016

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Directions to “WING EYECARE ” Practice Location

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