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NPI Code Detail

MEDICARE: NORTH STAR EYE ASSOCIATES

MEDICARE: NORTH STAR EYE ASSOCIATES
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
1207W00000XOphthalmology Physician50452MN

General Provider Information

NPI Number : 1922300300
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH STAR EYE ASSOCIATES
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 : 513-354-5827
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF MANAGED CARE
Name : TERRI ROUSE
Credential :
Telephone Number : 513-354-5827
Provider Enumeration Date : 11/17/2010
Last Update Date : 11/17/2010

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Directions to “NORTH STAR EYE ASSOCIATES ” Practice Location

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