Provider Demographics
NPI:1033507835
Name:CINDY W. ELRICH, OD LLC
Entity Type:Organization
Organization Name:CINDY W. ELRICH, OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:W
Authorized Official - Last Name:ELRICH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-774-3934
Mailing Address - Street 1:4 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8603
Mailing Address - Country:US
Mailing Address - Phone:740-774-3934
Mailing Address - Fax:740-774-3935
Practice Address - Street 1:4 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8603
Practice Address - Country:US
Practice Address - Phone:740-774-3934
Practice Address - Fax:740-774-3935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-31
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0792263Medicaid
OH0792263Medicaid
OHH432990Medicare PIN