Provider Demographics
NPI:1689816241
Name:MIAMI REGIONAL EYE CARE, INC.
Entity Type:Organization
Organization Name:MIAMI REGIONAL EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RADEMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-335-9020
Mailing Address - Street 1:180 S STANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-0106
Mailing Address - Country:US
Mailing Address - Phone:937-335-9020
Mailing Address - Fax:937-335-6684
Practice Address - Street 1:821 NICKLIN AVE
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-1739
Practice Address - Country:US
Practice Address - Phone:937-335-9020
Practice Address - Fax:937-335-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-29
Last Update Date:2009-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty