Provider Demographics
NPI:1881829489
Name:COLUMBUS EYE MD, INC
Entity Type:Organization
Organization Name:COLUMBUS EYE MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GALAYDH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-453-5741
Mailing Address - Street 1:1406 MEADOW VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-2536
Mailing Address - Country:US
Mailing Address - Phone:352-205-0107
Mailing Address - Fax:
Practice Address - Street 1:2330 MORSE RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5801
Practice Address - Country:US
Practice Address - Phone:614-453-5741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty