Provider Demographics
NPI:1326213877
Name:MCFADYEN FAMILY EYECARE, INC.
Entity Type:Organization
Organization Name:MCFADYEN FAMILY EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFADYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-752-2100
Mailing Address - Street 1:4424 AICHOLTZ RD STE H
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1560
Mailing Address - Country:US
Mailing Address - Phone:513-752-2100
Mailing Address - Fax:513-752-4300
Practice Address - Street 1:4424 AICHOLTZ RD STE H
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1560
Practice Address - Country:US
Practice Address - Phone:513-752-2100
Practice Address - Fax:513-752-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2536992Medicaid
OH9350531Medicare PIN
OH5363650001Medicare NSC
OH2536992Medicaid