Provider Demographics
NPI:1407173255
Name:VISION CARE OF CINCINNATI LLC
Entity Type:Organization
Organization Name:VISION CARE OF CINCINNATI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:COY
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:513-794-0203
Mailing Address - Street 1:3918 E GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2322
Mailing Address - Country:US
Mailing Address - Phone:513-794-0203
Mailing Address - Fax:513-794-0206
Practice Address - Street 1:3918 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2322
Practice Address - Country:US
Practice Address - Phone:513-794-0203
Practice Address - Fax:513-794-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSC6813332B00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies