| Cincinnati Eye Institute | |
|
1945 Cei Dr, Cincinnati, OH 45242 | |
| (513) 569-3741 | |
| (513) 569-3941 |
| Full Name | Cincinnati Eye Institute |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1945 Cei Dr, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942296298 | NPI | - | NPPES |
| 0459847 | Medicaid | OH | |
| 65928335 | Medicaid | KY | |
| CC6628 | Other | OH | RAILROAD MEDICARE |
| 100004440A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Ohio) | Secondary |
| 207W00000X | Ophthalmology | (Ohio) | Primary |
| 261QS0132X | Clinic/center - Ophthalmologic Surgery | 0813AS (Ohio) | Secondary |
| Provider Name | Edward John Meier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861451049 PECOS PAC ID: 4486554110 Enrollment ID: I20040113000755 |
| Provider Name | Michael L Stark |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679579577 PECOS PAC ID: 7214830611 Enrollment ID: I20040202000618 |
| Provider Name | Jeffrey M Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659377554 PECOS PAC ID: 9032012372 Enrollment ID: I20040202000656 |
| Provider Name | Andriena F Erickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316035009 PECOS PAC ID: 0547156606 Enrollment ID: I20040225000607 |
| Provider Name | Michael Lenart Nordlund |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104853613 PECOS PAC ID: 2466340757 Enrollment ID: I20040309000097 |
| Provider Name | Anup K Khatana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912947763 PECOS PAC ID: 6507754827 Enrollment ID: I20040309000114 |
| Provider Name | Donald Charles Stephens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952304685 PECOS PAC ID: 9830187293 Enrollment ID: I20040504000968 |
| Provider Name | Brian Keith Kuhlman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528096609 PECOS PAC ID: 2365425659 Enrollment ID: I20040608001365 |
| Provider Name | Bruce M Buerk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891792339 PECOS PAC ID: 7315924578 Enrollment ID: I20040706000766 |
| Provider Name | James Andrew Mchale |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578529418 PECOS PAC ID: 1951381987 Enrollment ID: I20040721000993 |
| Provider Name | Jessica Anne Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790785285 PECOS PAC ID: 7911971403 Enrollment ID: I20040820000877 |
| Provider Name | Troy D Bornhorst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316950876 PECOS PAC ID: 5991779233 Enrollment ID: I20040823001383 |
| Provider Name | Robert J Derick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922076181 PECOS PAC ID: 2264494350 Enrollment ID: I20041101000707 |
| Provider Name | Barbara Houde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417997883 PECOS PAC ID: 2961449343 Enrollment ID: I20050418000187 |
| Provider Name | Adam Henry Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609819085 PECOS PAC ID: 3870536980 Enrollment ID: I20050608001009 |
| Provider Name | Karl C. Golnik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407896871 PECOS PAC ID: 5597708602 Enrollment ID: I20050608001023 |
| Provider Name | Richard R Roebuck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750378782 PECOS PAC ID: 2163490020 Enrollment ID: I20050614001300 |
| Provider Name | Robert Hutchins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144263476 PECOS PAC ID: 1759318959 Enrollment ID: I20050719001323 |
| Provider Name | Emily Rose Shull |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003836412 PECOS PAC ID: 4981625316 Enrollment ID: I20051214000000 |
| Provider Name | Mona S Saggar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386654549 PECOS PAC ID: 4981611092 Enrollment ID: I20060315000266 |
| Provider Name | Karen Klugo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306833496 PECOS PAC ID: 0446268486 Enrollment ID: I20060403000005 |
| Provider Name | Daniel Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487681987 PECOS PAC ID: 7113991852 Enrollment ID: I20060424000149 |
| Provider Name | Mary Beth Yackey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386694461 PECOS PAC ID: 3779594254 Enrollment ID: I20060515000020 |
| Provider Name | Kenneth A Lameier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215987391 PECOS PAC ID: 3577522770 Enrollment ID: I20060522000024 |
| Provider Name | Jeffrey M Zink |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689611345 PECOS PAC ID: 3375575186 Enrollment ID: I20060707000007 |
| Provider Name | Donald T Hudak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396709234 PECOS PAC ID: 1557337730 Enrollment ID: I20060913000191 |
| Provider Name | Daniele P Saltarelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174557607 PECOS PAC ID: 5698778884 Enrollment ID: I20060914000155 |
| Provider Name | Mandar M Joshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730132242 PECOS PAC ID: 4284611203 Enrollment ID: I20060915000085 |
| Provider Name | Stephanie A Klemencic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659340925 PECOS PAC ID: 3577590199 Enrollment ID: I20060922000124 |
| Provider Name | Amy M Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205864519 PECOS PAC ID: 2961408794 Enrollment ID: I20061018000256 |
| Provider Name | Syed F Hasan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003835505 PECOS PAC ID: 5799784211 Enrollment ID: I20061212000041 |
| Provider Name | Charles King Dabbs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073588174 PECOS PAC ID: 6901849454 Enrollment ID: I20070109000230 |
| Provider Name | Jenny Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720027733 PECOS PAC ID: 4082714316 Enrollment ID: I20070716000164 |
| Provider Name | Hisham H Arar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609833342 PECOS PAC ID: 5395836282 Enrollment ID: I20070807000406 |
| Provider Name | James R Rademacher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669475133 PECOS PAC ID: 5092794065 Enrollment ID: I20071024000122 |
| Provider Name | Michael A Hater |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982643904 PECOS PAC ID: 8325147135 Enrollment ID: I20071227000504 |
| Provider Name | Philip T Nelsen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982606109 PECOS PAC ID: 7214018464 Enrollment ID: I20080115000011 |
| Provider Name | Michael J Lyons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336177419 PECOS PAC ID: 2365512134 Enrollment ID: I20080605000254 |
| Provider Name | Andrew Ferdinand Robbins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659308153 PECOS PAC ID: 5799718268 Enrollment ID: I20080617000428 |
| Provider Name | Juan Lebron |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477521425 PECOS PAC ID: 3678656667 Enrollment ID: I20080618000411 |
| Provider Name | Todd L Beyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407859275 PECOS PAC ID: 6305829409 Enrollment ID: I20080730000108 |
| Provider Name | James L Johnston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316940174 PECOS PAC ID: 8921172503 Enrollment ID: I20080730000555 |
| Provider Name | Jeffrey A Nerad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023019262 PECOS PAC ID: 5193875011 Enrollment ID: I20090702000266 |
| Provider Name | Ginger L Henson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467661678 PECOS PAC ID: 1153496690 Enrollment ID: I20090706000292 |
| Provider Name | Robert Sisk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063614089 PECOS PAC ID: 5395839815 Enrollment ID: I20090821000120 |
| Provider Name | Kristina V Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528258449 PECOS PAC ID: 1355409194 Enrollment ID: I20091008000042 |
| Provider Name | Jason Bell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548489842 PECOS PAC ID: 0840336483 Enrollment ID: I20091012000504 |
| Provider Name | Nicholas J Leonardy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497721781 PECOS PAC ID: 2466495916 Enrollment ID: I20091021000440 |
| Provider Name | Tom Frederick Straus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164465498 PECOS PAC ID: 3072419779 Enrollment ID: I20100212000362 |
| Provider Name | Gary A Varley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043207996 PECOS PAC ID: 0345332680 Enrollment ID: I20100212000423 |
| Provider Name | Robert Foster |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679560528 PECOS PAC ID: 2466544705 Enrollment ID: I20100212000589 |
| Provider Name | Christopher D Riemann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962491571 PECOS PAC ID: 4082696190 Enrollment ID: I20100212000638 |
| Provider Name | Matthew T Ritter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528095270 PECOS PAC ID: 5092859033 Enrollment ID: I20100215000548 |
| Provider Name | Linda Joy Greff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538108923 PECOS PAC ID: 8527964220 Enrollment ID: I20100215000595 |
| Provider Name | Michael R Petersen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629005160 PECOS PAC ID: 2163328865 Enrollment ID: I20100215000735 |
| Provider Name | Michael E Snyder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720075682 PECOS PAC ID: 9335121441 Enrollment ID: I20100215000753 |
| Provider Name | John Stephen Cohen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447217518 PECOS PAC ID: 7810893500 Enrollment ID: I20100215000769 |
| Provider Name | William Faulkner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821056706 PECOS PAC ID: 0244136943 Enrollment ID: I20100215000794 |
| Provider Name | Robert Henry Osher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831126341 PECOS PAC ID: 1254237951 Enrollment ID: I20100215000801 |
| Provider Name | Alan Harold Zalta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922034057 PECOS PAC ID: 1951445832 Enrollment ID: I20100216000209 |
| Provider Name | Edward J Holland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720021199 PECOS PAC ID: 6608910823 Enrollment ID: I20100225000320 |
| Provider Name | Kevin T Corcoran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902863673 PECOS PAC ID: 7810970100 Enrollment ID: I20100225000626 |
| Provider Name | Ramesh M Kode |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447291877 PECOS PAC ID: 6204961386 Enrollment ID: I20100315000406 |
| Provider Name | Robert Benza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912966144 PECOS PAC ID: 1254224330 Enrollment ID: I20100514000643 |
| Provider Name | Santosh Nuchikat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346270030 PECOS PAC ID: 6406985803 Enrollment ID: I20100524000438 |
| Provider Name | Mark Bergmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669431805 PECOS PAC ID: 3375671209 Enrollment ID: I20100525000343 |
| Provider Name | Maria Austria Fox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912966177 PECOS PAC ID: 4486783669 Enrollment ID: I20100526000605 |
| Provider Name | Leon A Reid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497724959 PECOS PAC ID: 5698668788 Enrollment ID: I20100527000624 |
| Provider Name | Kelly Patrick O Neill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821067364 PECOS PAC ID: 8426941519 Enrollment ID: I20100528000008 |
| Provider Name | Walter C Hartel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194744698 PECOS PAC ID: 3779517875 Enrollment ID: I20100706000207 |
| Provider Name | David E Denlinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649298092 PECOS PAC ID: 6406880509 Enrollment ID: I20100706000242 |
| Provider Name | Richard L Liston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285653774 PECOS PAC ID: 4688608789 Enrollment ID: I20100706000327 |
| Provider Name | Paul D Moyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629097126 PECOS PAC ID: 3476684879 Enrollment ID: I20100706000360 |
| Provider Name | Dawn L Hartman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154404804 PECOS PAC ID: 4486786803 Enrollment ID: I20100721000489 |
| Provider Name | Ira K Orgel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558336651 PECOS PAC ID: 0648213199 Enrollment ID: I20101229001156 |
| Provider Name | David Schnitzer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508832981 PECOS PAC ID: 4587747571 Enrollment ID: I20110208001110 |
| Provider Name | Joseph Pirman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578566303 PECOS PAC ID: 6305026212 Enrollment ID: I20110210000127 |
| Provider Name | Jerome Sude |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982607727 PECOS PAC ID: 4385824929 Enrollment ID: I20110214000710 |
| Provider Name | Charles J Hickey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487610960 PECOS PAC ID: 1850370529 Enrollment ID: I20110601000020 |
| Provider Name | Erich Hinel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447563077 PECOS PAC ID: 2668659095 Enrollment ID: I20110610000480 |
| Provider Name | Martin F Wilkes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518164995 PECOS PAC ID: 0840477295 Enrollment ID: I20110613000007 |
| Provider Name | Jessica Hildenbrand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477592384 PECOS PAC ID: 9335210988 Enrollment ID: I20111103000383 |
| Provider Name | John Wathan Gullett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043473226 PECOS PAC ID: 5193998037 Enrollment ID: I20111109000402 |
| Provider Name | Michael S Bloom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639128689 PECOS PAC ID: 2062483837 Enrollment ID: I20120120000364 |
| Provider Name | Radhika Lingam Kumar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427137470 PECOS PAC ID: 5597816983 Enrollment ID: I20120131000521 |
| Provider Name | Haroon Chaudhry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245432392 PECOS PAC ID: 5890959555 Enrollment ID: I20120607000704 |
| Provider Name | Adam R Cloud |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194989582 PECOS PAC ID: 1153577853 Enrollment ID: I20120813000548 |
| Provider Name | Leah M Cloud |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871738146 PECOS PAC ID: 6103075593 Enrollment ID: I20120928000234 |
| Provider Name | William Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033117528 PECOS PAC ID: 1456314327 Enrollment ID: I20130102000377 |
| Provider Name | Robert J Goulet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003078726 PECOS PAC ID: 2062537665 Enrollment ID: I20130110000229 |
| Provider Name | Ehryn Beth Cartwright |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114181526 PECOS PAC ID: 3173681616 Enrollment ID: I20130305000540 |
| Provider Name | Gregory J Louis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346237344 PECOS PAC ID: 3274428065 Enrollment ID: I20130306000311 |
| Provider Name | Nicole Beharry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811125826 PECOS PAC ID: 6204077290 Enrollment ID: I20130802000774 |
| Provider Name | Scott Schoenberger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811176548 PECOS PAC ID: 4385822212 Enrollment ID: I20130823001254 |
| Provider Name | Marcia Hoepf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942513064 PECOS PAC ID: 2961656459 Enrollment ID: I20140313001830 |
| Provider Name | James M Osher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942448618 PECOS PAC ID: 6608038187 Enrollment ID: I20140602002345 |
| Provider Name | Gregory B Mecoli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053613844 PECOS PAC ID: 4082853502 Enrollment ID: I20140722000961 |
| Provider Name | Jennifer Marie Shade |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801028600 PECOS PAC ID: 3476792938 Enrollment ID: I20140826000447 |
| Provider Name | Tamar Shafran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306167135 PECOS PAC ID: 8224256656 Enrollment ID: I20140827001388 |
| Provider Name | Daniel J Hammer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346575479 PECOS PAC ID: 3274774724 Enrollment ID: I20141023000489 |
| Provider Name | William Buckley Burns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467892869 PECOS PAC ID: 0244555092 Enrollment ID: I20150219000601 |
| Provider Name | Shana B Brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427258458 PECOS PAC ID: 5193826527 Enrollment ID: I20150219001106 |
| Provider Name | Christina M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285023044 PECOS PAC ID: 8820314057 Enrollment ID: I20150306001136 |
| Provider Name | Karen Mcpherson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023169638 PECOS PAC ID: 1456459619 Enrollment ID: I20150521000544 |
| Provider Name | Alyssa Beth Donahue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497136873 PECOS PAC ID: 7113239856 Enrollment ID: I20150708002907 |
| Provider Name | Fred Chu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932420478 PECOS PAC ID: 1153548839 Enrollment ID: I20150806011263 |
| Provider Name | Kavitha R Sivaraman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992016976 PECOS PAC ID: 9436376225 Enrollment ID: I20150812007200 |
| Provider Name | Lucas Lindsell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841235959 PECOS PAC ID: 8426297532 Enrollment ID: I20160523000684 |
| Provider Name | Roxana Yanet Rivera |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780812495 PECOS PAC ID: 4082882485 Enrollment ID: I20160923002342 |
| Provider Name | Ronald Mannarino Jr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720432776 PECOS PAC ID: 5890074561 Enrollment ID: I20161121001386 |
| Provider Name | Daniel R Hagee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306391149 PECOS PAC ID: 1658658398 Enrollment ID: I20170504002592 |
| Provider Name | Steven M Christiansen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548603483 PECOS PAC ID: 9436390531 Enrollment ID: I20170511002480 |
| Provider Name | Laura L Hanson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871884254 PECOS PAC ID: 4385883941 Enrollment ID: I20170524003021 |
| Provider Name | Prashant K Parekh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568705788 PECOS PAC ID: 9638462500 Enrollment ID: I20170525001644 |
| Provider Name | Brian M Marek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942543525 PECOS PAC ID: 0941421309 Enrollment ID: I20170526001932 |
| Provider Name | Jonathan M Pargament |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275848160 PECOS PAC ID: 9133369242 Enrollment ID: I20170718002165 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952830861 PECOS PAC ID: 4587934799 Enrollment ID: I20170720002601 |
| Provider Name | Erin Rolfes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003344375 PECOS PAC ID: 0840561387 Enrollment ID: I20170802002024 |
| Provider Name | Alisha Gandhi Kumar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902148745 PECOS PAC ID: 3173837622 Enrollment ID: I20170809001529 |
| Provider Name | Arjun Bobby Sood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487097341 PECOS PAC ID: 8628340106 Enrollment ID: I20180517003068 |
| Provider Name | Ferdinand Rodriguez Agramonte |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477971992 PECOS PAC ID: 5991060766 Enrollment ID: I20180525001857 |
| Provider Name | Hang Thanh Thi Pham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972920296 PECOS PAC ID: 4385946623 Enrollment ID: I20180529001911 |
| Provider Name | Kasey Lee Pierson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811309230 PECOS PAC ID: 8921315037 Enrollment ID: I20180531001688 |
| Provider Name | Samantha Schockman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417363953 PECOS PAC ID: 9335452051 Enrollment ID: I20180606002682 |
| Provider Name | Gian Paolo Giuliari Gonzalez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689080236 PECOS PAC ID: 3173839248 Enrollment ID: I20180724003467 |
| Provider Name | Siri M. Hiremath |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568873347 PECOS PAC ID: 7416205844 Enrollment ID: I20180801002743 |
| Provider Name | Alison Dzwonczyk Early |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457771834 PECOS PAC ID: 1557583861 Enrollment ID: I20180807001153 |
| Provider Name | Basil K Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942578356 PECOS PAC ID: 6305153297 Enrollment ID: I20180822001609 |
| Provider Name | Zachary Charles Sherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578066742 PECOS PAC ID: 4789920059 Enrollment ID: I20190107003271 |
| Provider Name | Sarah E Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679028245 PECOS PAC ID: 5991046443 Enrollment ID: I20190409003532 |
| Provider Name | Kathleen Farhang Petro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265814537 PECOS PAC ID: 6002105350 Enrollment ID: I20190524001553 |
| Provider Name | Matthew Robert Denny |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619351467 PECOS PAC ID: 0042553547 Enrollment ID: I20190524002132 |
| Provider Name | Linh-an J Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790342301 PECOS PAC ID: 5991048282 Enrollment ID: I20190530002269 |
| Provider Name | Erin M Ross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124684774 PECOS PAC ID: 1254664543 Enrollment ID: I20190530002336 |
| Provider Name | Carl T Bruce |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043691124 PECOS PAC ID: 4284928169 Enrollment ID: I20190603000704 |
| Provider Name | Aubrey Tirpack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255759783 PECOS PAC ID: 5698064384 Enrollment ID: I20190806003066 |
| Provider Name | Nishika Muddasani Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134514813 PECOS PAC ID: 8527395649 Enrollment ID: I20190813001587 |
| Provider Name | Mary E Weimer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205256708 PECOS PAC ID: 6800017815 Enrollment ID: I20190823001136 |
| Provider Name | Nina L Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942795067 PECOS PAC ID: 9436488129 Enrollment ID: I20190905001036 |
| Provider Name | Meghan Hossein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134759236 PECOS PAC ID: 4284062076 Enrollment ID: I20200309002465 |
| Provider Name | Michael P Ellis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598127243 PECOS PAC ID: 6204267958 Enrollment ID: I20200513002108 |
| Provider Name | Patrick Burchell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841649357 PECOS PAC ID: 7315230414 Enrollment ID: I20200513003120 |
| Provider Name | Taylor J. Slingsby |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649624883 PECOS PAC ID: 2668766783 Enrollment ID: I20200514001688 |
| Provider Name | Christopher Pappa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689060667 PECOS PAC ID: 0648542670 Enrollment ID: I20200528000776 |
| Provider Name | Nicholas L Misleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538709241 PECOS PAC ID: 1355762360 Enrollment ID: I20200529001853 |
| Provider Name | Stephanie Ma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508270422 PECOS PAC ID: 6608113808 Enrollment ID: I20200612002288 |
| Provider Name | Andrew D Barfell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982059796 PECOS PAC ID: 9830460260 Enrollment ID: I20200702002416 |
| Provider Name | Derek Heimlich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699393090 PECOS PAC ID: 7315362209 Enrollment ID: I20200806001396 |
| Provider Name | Brooke N Hyde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851959761 PECOS PAC ID: 9335477116 Enrollment ID: I20200807001379 |
| Provider Name | Brennen Ritter Yaquinto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467944678 PECOS PAC ID: 9638595994 Enrollment ID: I20200817003213 |
| Provider Name | Swarupa Kancherla |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891135737 PECOS PAC ID: 7113150822 Enrollment ID: I20210202002767 |
| Provider Name | Sloane B Rudolf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942823349 PECOS PAC ID: 3375951023 Enrollment ID: I20210416001642 |
| Provider Name | Sydni Lynn Coleman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841722907 PECOS PAC ID: 1759653488 Enrollment ID: I20210422002814 |
| Provider Name | Eric Ryan Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205367182 PECOS PAC ID: 6507139086 Enrollment ID: I20210426000606 |
| Provider Name | Daniel A Brill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457700445 PECOS PAC ID: 8224321302 Enrollment ID: I20210428000894 |
| Provider Name | Jackson David Carey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790350866 PECOS PAC ID: 1951703149 Enrollment ID: I20210709002898 |
| Provider Name | Alex David Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417525742 PECOS PAC ID: 9436551298 Enrollment ID: I20210715003186 |
| Provider Name | Meghan E Hermanson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093246316 PECOS PAC ID: 6901155159 Enrollment ID: I20210715003783 |
| Provider Name | Erin Filbrandt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659994531 PECOS PAC ID: 6406258268 Enrollment ID: I20210715004241 |
| Provider Name | Amar Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457715237 PECOS PAC ID: 4789977877 Enrollment ID: I20210819003732 |
| Provider Name | Kelly M Lutmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487226114 PECOS PAC ID: 4688079213 Enrollment ID: I20210819003880 |
| Provider Name | Megan Marie Tuohy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073960233 PECOS PAC ID: 6406149285 Enrollment ID: I20210913000370 |
| Provider Name | Ahmed Alkaliby |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831868512 PECOS PAC ID: 0143610006 Enrollment ID: I20211208001085 |
| Provider Name | Aditha Ponaka Reddy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831764778 PECOS PAC ID: 7719372713 Enrollment ID: I20220309001254 |
| Provider Name | Yousef Aldairy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235598087 PECOS PAC ID: 2365797024 Enrollment ID: I20220804000831 |
| Provider Name | Andre Martinez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922503127 PECOS PAC ID: 2466709985 Enrollment ID: I20220804003110 |
| Provider Name | Mackenzie May Gershom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386382877 PECOS PAC ID: 1355723479 Enrollment ID: I20220804003496 |
| Provider Name | Dalton Levi Kincaid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922747658 PECOS PAC ID: 5890177919 Enrollment ID: I20220804003559 |
| Provider Name | Jordan Marentette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609514306 PECOS PAC ID: 7911389077 Enrollment ID: I20220805001155 |
| Provider Name | Josef Koberlein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396483020 PECOS PAC ID: 1153703210 Enrollment ID: I20220805001354 |
| Provider Name | Kody Brandon Phillip Lecurgo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316521842 PECOS PAC ID: 3870975931 Enrollment ID: I20220805001392 |
| Provider Name | Ashley Bonneau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811635329 PECOS PAC ID: 2163804279 Enrollment ID: I20220805003085 |
| Provider Name | Kristen E Bisig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538731633 PECOS PAC ID: 5890177836 Enrollment ID: I20220808000749 |
| Provider Name | Colby L Argo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194221739 PECOS PAC ID: 8325396328 Enrollment ID: I20220818001550 |
| Provider Name | Chloe Khoo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275996043 PECOS PAC ID: 8426357732 Enrollment ID: I20220818002674 |
| Provider Name | Marwa Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144715483 PECOS PAC ID: 6507115052 Enrollment ID: I20220819002966 |
| Provider Name | Minh Trinh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164926028 PECOS PAC ID: 0547505851 Enrollment ID: I20220822002858 |
| Provider Name | Elizabeth Mathenge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720511629 PECOS PAC ID: 1052689593 Enrollment ID: I20220831003087 |
| Provider Name | May Elrashedy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336612548 PECOS PAC ID: 1355767344 Enrollment ID: I20220902001351 |
| Provider Name | Marlene A Azar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053816637 PECOS PAC ID: 6002171907 Enrollment ID: I20220909000204 |
| Provider Name | Jing Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285138073 PECOS PAC ID: 4284979642 Enrollment ID: I20221104002252 |
| Provider Name | Trang Prosak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558771105 PECOS PAC ID: 9032426366 Enrollment ID: I20230124001855 |
| Provider Name | Marwan Abdulaal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912316878 PECOS PAC ID: 0941428114 Enrollment ID: I20230308001420 |
| Provider Name | Daniel Lawrence Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447810841 PECOS PAC ID: 7719352343 Enrollment ID: I20230412001005 |
| Provider Name | Caroline Baumgartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285339853 PECOS PAC ID: 3577928779 Enrollment ID: I20230421002012 |
| Provider Name | Tyler Berger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437646700 PECOS PAC ID: 7416295068 Enrollment ID: I20230424000805 |
| Provider Name | Muhammad Hassan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609437839 PECOS PAC ID: 3072945104 Enrollment ID: I20230508000265 |
| Provider Name | Alisha Brianna Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922711936 PECOS PAC ID: 0941666259 Enrollment ID: I20230511001570 |
| Provider Name | Tara Elizabeth Cayton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326508219 PECOS PAC ID: 1658605183 Enrollment ID: I20230512000571 |
| Provider Name | Cynthia Mcclard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023675501 PECOS PAC ID: 3173858008 Enrollment ID: I20230607001309 |
| Provider Name | Monica Albertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750010674 PECOS PAC ID: 5991162786 Enrollment ID: I20230609002065 |
| Provider Name | Shail Gajjar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093403933 PECOS PAC ID: 9739548751 Enrollment ID: I20230707003052 |
| Provider Name | Peter F Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184184996 PECOS PAC ID: 0941536213 Enrollment ID: I20230711004276 |
| Provider Name | Daniel Peretz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073225363 PECOS PAC ID: 3173983913 Enrollment ID: I20230712002195 |
| Provider Name | Evelyne Mechas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114667227 PECOS PAC ID: 1153702394 Enrollment ID: I20230802000607 |
| Provider Name | Adam Henry Hall Altman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891173373 PECOS PAC ID: 0345636387 Enrollment ID: I20240306000493 |
| Provider Name | Sameer Al-shweiki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508275835 PECOS PAC ID: 9234359803 Enrollment ID: I20240328002841 |
| Provider Name | Siri Yalamanchili |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134757065 PECOS PAC ID: 9537581905 Enrollment ID: I20240409002628 |
| Provider Name | David Mora-boellstorff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285196006 PECOS PAC ID: 0840610515 Enrollment ID: I20240411000341 |
| Provider Name | Alicia Jiang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063037133 PECOS PAC ID: 4789023342 Enrollment ID: I20240415003702 |
| Provider Name | Denis Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699390773 PECOS PAC ID: 0749603843 Enrollment ID: I20240417003560 |
| Provider Name | Jacquelyn Marie Wrenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457945776 PECOS PAC ID: 0749629822 Enrollment ID: I20240423000673 |
| Provider Name | Joshua Canavan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588354377 PECOS PAC ID: 2466893136 Enrollment ID: I20240513000589 |
| Provider Name | Aaron Richard Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174028096 PECOS PAC ID: 8820348212 Enrollment ID: I20240530001820 |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Eye Institute 1945 Cei Dr, Blue Ash, OH 45242-5664 Ph: (513) 569-3741 | Cincinnati Eye Institute 1945 Cei Dr, Cincinnati, OH 45242 Ph: (513) 569-3741 |