MEDICARE: CENTRAL OHIO EYECARE, INC

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
1	152W00000X	Optometrist	3580	OH

General Provider Information

NPI Number	:	1225232333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL OHIO EYECARE, INC

Provider Business Mailing Address
First Line	:	3130 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1517
Country	:	US
Telephone Number	:	614-262-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1517
Country	:	US
Telephone Number	:	614-262-2020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAMAR G ZIGLER
Credential	:	OD
Telephone Number	:	614-262-2020

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	04/02/2015

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Directions to “CENTRAL OHIO EYECARE, INC ” Practice Location

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