Provider Demographics
NPI:1073646808
Name:LIMA EYE SURGEONS, INC.
Entity Type:Organization
Organization Name:LIMA EYE SURGEONS, INC.
Other - Org Name:FOX EYE SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT - OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-224-3937
Mailing Address - Street 1:750 W HIGH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-2969
Mailing Address - Country:US
Mailing Address - Phone:419-224-3937
Mailing Address - Fax:419-224-2144
Practice Address - Street 1:750 W HIGH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2969
Practice Address - Country:US
Practice Address - Phone:419-224-3937
Practice Address - Fax:419-224-2144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-81926207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========-00OtherBWC
OHDE5205Medicare ID - Type UnspecifiedRR MEDICARE
OH=========-00OtherBWC