Provider Demographics
NPI:1891276507
Name:CENTRAL OHIO VISION AND EYECARE, LLC
Entity Type:Organization
Organization Name:CENTRAL OHIO VISION AND EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KARRES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-266-0770
Mailing Address - Street 1:65 PENROD AVE
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7543
Mailing Address - Country:US
Mailing Address - Phone:614-266-0770
Mailing Address - Fax:
Practice Address - Street 1:6772 NEW ALBANY CONDIT RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9733
Practice Address - Country:US
Practice Address - Phone:614-933-0575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6552152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty