Provider Demographics
NPI:1003080961
Name:COLUMBUS EYE CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:COLUMBUS EYE CARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLENMAYER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-459-0600
Mailing Address - Street 1:4775 KNIGHTSBRIDGE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-4313
Mailing Address - Country:US
Mailing Address - Phone:614-459-0600
Mailing Address - Fax:614-515-4569
Practice Address - Street 1:4775 KNIGHTSBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-4313
Practice Address - Country:US
Practice Address - Phone:614-459-0600
Practice Address - Fax:614-515-4569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCO9292351Medicare UPIN