Provider Demographics
NPI:1467693390
Name:NEPTUNE EYE CARE PC
Entity Type:Organization
Organization Name:NEPTUNE EYE CARE PC
Other - Org Name:NEPTUNE EYE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BURWELL
Authorized Official - Last Name:NEPTUNE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-265-3832
Mailing Address - Street 1:10224 COLERAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4904
Mailing Address - Country:US
Mailing Address - Phone:513-923-9904
Mailing Address - Fax:513-923-9907
Practice Address - Street 1:10224 COLERAIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-4904
Practice Address - Country:US
Practice Address - Phone:513-923-9904
Practice Address - Fax:513-923-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4432/T1025152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4731000001Medicare NSC
OH9383141Medicare PIN