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NPI Code Detail

MEDICARE: LCA-VISION INC

MEDICARE: LCA-VISION 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
1261QS0132XOphthalmologic Surgery Clinic/Center

General Provider Information

NPI Number : 1710031430
Entity Type Code : Organization
Provider Name (Legal Business Name) : LCA-VISION INC
Provider Business Mailing Address
First Line : 7840 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-4301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7840 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-4301
Country : US
Telephone Number : 513-792-9292
Fax Number :
Authorized Official
Title or Position : V. P. MANAGED CARE
Name : SCOTT KIRK
Credential :
Telephone Number : 800-688-4550
Provider Enumeration Date : 01/22/2007
Last Update Date : 08/22/2020

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