Provider Demographics
NPI:1578664629
Name:CARAFICE AND HALLQUIST, INC.
Entity Type:Organization
Organization Name:CARAFICE AND HALLQUIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARAFICE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-423-5869
Mailing Address - Street 1:3116 W. MONTGOMERY RD.
Mailing Address - Street 2:SUITE C #275
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8609
Mailing Address - Country:US
Mailing Address - Phone:513-228-0790
Mailing Address - Fax:513-228-0790
Practice Address - Street 1:2900 TOWNE BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6200
Practice Address - Country:US
Practice Address - Phone:513-423-5869
Practice Address - Fax:513-423-6498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4268-T853152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2217050Medicaid
OH2217050Medicaid