| |
8760 Union Centre Blvd, West Chester, OH 45069-4876 | |
(513) 454-0544 | |
(513) 454-0551 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 8760 Union Centre Blvd, West Chester, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851622765 | NPI | - | NPPES |
7100106120 | Medicaid | KY | |
7100105750 | Medicaid | KY | |
3021769 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Ohio) | Secondary |
152WC0802X | Optometrist - Corneal And Contact Management | 5506/T2418 (Ohio) | Secondary |
207W00000X | Ophthalmology | (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
4452 Eastgate Blvd, Suite 305, Cincinnati, OH 45245-1584 Ph: (513) 752-5700 | 8760 Union Centre Blvd, West Chester, OH 45069-4876 Ph: (513) 454-0544 |