Provider Demographics
NPI:1497081343
Name:EYECARE CENTER OF MONROE COUNTY
Entity Type:Organization
Organization Name:EYECARE CENTER OF MONROE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ICE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:740-472-1119
Mailing Address - Street 1:166 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43793-1023
Mailing Address - Country:US
Mailing Address - Phone:740-472-1119
Mailing Address - Fax:740-472-1198
Practice Address - Street 1:166 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-1023
Practice Address - Country:US
Practice Address - Phone:740-472-1119
Practice Address - Fax:740-472-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty