MEDICARE: NEPTUNE EYE CARE PROFESSIONAL CORPORATION

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	4432/T1025	OH

General Provider Information

NPI Number	:	1467693390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEPTUNE EYE CARE PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	9884 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1431
Country	:	US
Telephone Number	:	513-923-9904
Fax Number	:	513-923-9907

Provider Business Practice Location Address
First Line	:	9884 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1431
Country	:	US
Telephone Number	:	513-923-9904
Fax Number	:	513-923-9907

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. CHRISTOPHER BURWELL NEPTUNE
Credential	:	O.D.
Telephone Number	:	513-265-3832

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	05/30/2025

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