Provider Demographics
NPI:1689614976
Name:EYE DESIGNS NEW ALBANY, INC
Entity Type:Organization
Organization Name:EYE DESIGNS NEW ALBANY, INC
Other - Org Name:EYE DESIGNS NEW ALBANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-855-1122
Mailing Address - Street 1:220 MARKET ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9031
Mailing Address - Country:US
Mailing Address - Phone:614-855-1122
Mailing Address - Fax:614-939-1350
Practice Address - Street 1:220 MARKET ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9031
Practice Address - Country:US
Practice Address - Phone:614-855-1122
Practice Address - Fax:614-939-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9317241Medicare PIN