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NPI Code Detail

MEDICARE: WING EYECARE, INC

MEDICARE: WING 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
1152W00000XOptometrist4131OH

General Provider Information

NPI Number : 1821136177
Entity Type Code : Organization
Provider Name (Legal Business Name) : WING EYECARE, INC
Provider Business Mailing Address
First Line : 5305 GLENWAY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3706
Country : US
Telephone Number : 513-921-8433
Fax Number : 513-921-4935
Provider Business Practice Location Address
First Line : 5305 GLENWAY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3706
Country : US
Telephone Number : 513-921-8433
Fax Number : 513-921-4935
Authorized Official
Title or Position : DIRECTOR OF PROFESSIONAL SERV
Name : THOMAS F NAGY
Credential : O.D.
Telephone Number : 513-921-8433
Provider Enumeration Date : 02/01/2007
Last Update Date : 06/26/2012

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Directions to “WING EYECARE, INC ” Practice Location

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