Provider Demographics
NPI:1629354733
Name:MYERS EYE ASSOCIATES INC.
Entity Type:Organization
Organization Name:MYERS EYE ASSOCIATES INC.
Other - Org Name:JAMES G MYERS, OD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-252-4838
Mailing Address - Street 1:10901 WINDHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3113
Mailing Address - Country:US
Mailing Address - Phone:513-252-4838
Mailing Address - Fax:
Practice Address - Street 1:9691 WATERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8220
Practice Address - Country:US
Practice Address - Phone:513-774-9461
Practice Address - Fax:513-833-2972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3559-T573152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMY0595771Medicare PIN
OHT97123Medicare UPIN