Provider Demographics
NPI:1477827095
Name:NEIL F. SIKA, O.D., INC.
Entity Type:Organization
Organization Name:NEIL F. SIKA, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:SIKA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-238-1966
Mailing Address - Street 1:14365 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8713
Mailing Address - Country:US
Mailing Address - Phone:440-238-1966
Mailing Address - Fax:440-238-3202
Practice Address - Street 1:14365 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-8713
Practice Address - Country:US
Practice Address - Phone:440-238-1966
Practice Address - Fax:440-238-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3309152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0422233Medicaid
OH0638460001Medicare NSC
OH0422233Medicaid
OHT47301Medicare UPIN