Organization Name: | CHILDREN'S EYE PHYSICIANS |
NPI Number: | 1073889184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAMILLE ELISE MORRISON (BILLING MANAGER) |
Mailing Address: | 9302 Towne Square Ave Blue Ash |
State: | OH US |
Postal Code: | 452426943 |
Phone Number: | 5137912114 |
Fax Number: | 5137913672 |
NPI Enumeration Date: | 03/23/2012 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1100X |
License Number: | 35051262 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Ophthalmic |
Taxonomy Definition: |