Provider Demographics
NPI:1063684447
Name:CAPITAL EYES OPHTHALMOLOGY INC
Entity Type:Organization
Organization Name:CAPITAL EYES OPHTHALMOLOGY INC
Other - Org Name:MIRFEE UNGIER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRFEE
Authorized Official - Middle Name:K
Authorized Official - Last Name:UNGIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-746-7456
Mailing Address - Street 1:6820 RIDGE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129
Mailing Address - Country:US
Mailing Address - Phone:440-746-7456
Mailing Address - Fax:
Practice Address - Street 1:6820 RIDGE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5646
Practice Address - Country:US
Practice Address - Phone:440-746-7456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL EYES OPHTHALMOLOGY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-26
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4534740001Medicare NSC