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NPI Code Detail

MEDICARE: VISION CARE OF CINCINNATI LLC

MEDICARE: VISION CARE OF CINCINNATI 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
1332B00000XDurable Medical Equipment & Medical SuppliesSC6813OH
2332H00000XEyewear SupplierSC6813OH

General Provider Information

NPI Number : 1407173255
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION CARE OF CINCINNATI LLC
Provider Business Mailing Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-794-0203
Fax Number : 513-794-0206
Provider Business Practice Location Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-794-0203
Fax Number : 513-794-0206
Authorized Official
Title or Position : OWNER
Name : MATTHEW COY BARNES
Credential : OPTICIAN
Telephone Number : 513-794-0203
Provider Enumeration Date : 05/03/2010
Last Update Date : 05/03/2010

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Directions to “VISION CARE OF CINCINNATI LLC ” Practice Location

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