Provider Demographics
NPI:1508979386
Name:DR MARK H RINKOV INC
Entity Type:Organization
Organization Name:DR MARK H RINKOV INC
Other - Org Name:RINKOV EYECARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:RINKOV
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-224-2414
Mailing Address - Street 1:81 E GAY STREET
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3103
Mailing Address - Country:US
Mailing Address - Phone:614-224-2414
Mailing Address - Fax:614-224-5916
Practice Address - Street 1:81 E GAY STREET
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3103
Practice Address - Country:US
Practice Address - Phone:614-224-2414
Practice Address - Fax:614-224-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0727057Medicaid
OH2256062Medicaid
OH2531817Medicaid
OH0934225Medicaid
OH0214780Medicaid
RI0441957Medicare ID - Type Unspecified
OH0214780Medicaid
BU4050891Medicare ID - Type Unspecified
MI4137699Medicare ID - Type Unspecified
OH0934225Medicaid
V00604Medicare UPIN
OH2256062Medicaid
U85080Medicare UPIN
T46913Medicare UPIN
CO0714344Medicare ID - Type Unspecified