Provider Demographics
NPI:1972680007
Name:PREFERRED EYECARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:PREFERRED EYECARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SCHOLLES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-729-3802
Mailing Address - Street 1:8970 WINTON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3818
Mailing Address - Country:US
Mailing Address - Phone:513-729-3802
Mailing Address - Fax:513-522-3416
Practice Address - Street 1:8970 WINTON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3818
Practice Address - Country:US
Practice Address - Phone:513-729-3802
Practice Address - Fax:513-522-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization