Provider Demographics
NPI:1518010842
Name:ANDERSON HILLS EYE
Entity Type:Organization
Organization Name:ANDERSON HILLS EYE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-388-4000
Mailing Address - Street 1:7815 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4207
Mailing Address - Country:US
Mailing Address - Phone:513-388-4000
Mailing Address - Fax:513-388-4007
Practice Address - Street 1:415 HOME ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1478
Practice Address - Country:US
Practice Address - Phone:937-378-0031
Practice Address - Fax:937-378-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0561664Medicaid
OH9329473Medicare PIN
OH9329472Medicare PIN
OH0561664Medicaid
OH4665370001Medicare NSC