Provider Demographics
NPI:1518219252
Name:DR.NICHOLAS G. PARTHENAKIS,OPTOMETRIST,INC.
Entity Type:Organization
Organization Name:DR.NICHOLAS G. PARTHENAKIS,OPTOMETRIST,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARTHENAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-931-1043
Mailing Address - Street 1:7344 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4322
Mailing Address - Country:US
Mailing Address - Phone:513-931-1043
Mailing Address - Fax:
Practice Address - Street 1:7344 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4322
Practice Address - Country:US
Practice Address - Phone:513-931-1043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT46123Medicare UPIN