Provider Demographics
NPI:1639341092
Name:EYE Q EYE CARE INC
Entity Type:Organization
Organization Name:EYE Q EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:LITTLEJOHN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-606-2772
Mailing Address - Street 1:8090 LOONEY RD STE B
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-9250
Mailing Address - Country:US
Mailing Address - Phone:937-606-2772
Mailing Address - Fax:937-916-3206
Practice Address - Street 1:8090 LOONEY RD STE B
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-9250
Practice Address - Country:US
Practice Address - Phone:937-606-2772
Practice Address - Fax:937-916-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4367 T273261QP2300X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care