MEDICARE: DR.NICHOLAS G. PARTHENAKIS,OPTOMETRIST,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

General Provider Information

NPI Number	:	1518219252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR.NICHOLAS G. PARTHENAKIS,OPTOMETRIST,INC.

Provider Business Mailing Address
First Line	:	7344 HAMILTON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4322
Country	:	US
Telephone Number	:	513-931-1043
Fax Number	:

Provider Business Practice Location Address
First Line	:	7344 HAMILTON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4322
Country	:	US
Telephone Number	:	513-931-1043
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NICHOLAS G PARTHENAKIS
Credential	:	O.D.
Telephone Number	:	513-931-1043

Provider Enumeration Date	:	10/04/2012
Last Update Date	:	10/04/2012

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