Provider Demographics
NPI:1477091080
Name:WING EYECARE
Entity Type:Organization
Organization Name:WING EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORCHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-922-9000
Mailing Address - Street 1:2920 GLENDALE MILFORD RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3131
Mailing Address - Country:US
Mailing Address - Phone:513-922-9000
Mailing Address - Fax:513-922-4050
Practice Address - Street 1:705 BUTTERMILK PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1318
Practice Address - Country:US
Practice Address - Phone:859-341-3937
Practice Address - Fax:859-341-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty