Provider Demographics
NPI:1467551010
Name:SCHROER EYE CENTER
Entity Type:Organization
Organization Name:SCHROER EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHROER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-451-0010
Mailing Address - Street 1:5314 DELHI AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-5390
Mailing Address - Country:US
Mailing Address - Phone:513-451-0010
Mailing Address - Fax:513-451-3049
Practice Address - Street 1:5314 DELHI AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-5390
Practice Address - Country:US
Practice Address - Phone:513-451-0010
Practice Address - Fax:513-451-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH4049152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSC526722OtherCLARITY VISION
OHSE27433OtherSPECTERA
OH2072313Medicaid
OH291581476001OtherMEDICAL MUTUAL
OH4049EOtherHUMANA
OH000000225755OtherANTHEM
OH913274OtherBLOCK VISION
OHOH4049OtherEYEMED
OH2314839OtherAETNA
OHSC526722OtherCLARITY VISION
OH291581476001OtherMEDICAL MUTUAL
OH2314839OtherAETNA