Provider Demographics
NPI:1023069515
Name:OPHTHALMIC ANESTHESIA ASSOCIATES INC
Entity type:Organization
Organization Name:OPHTHALMIC ANESTHESIA ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-827-6600
Mailing Address - Street 1:L-3800
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-3800
Mailing Address - Country:US
Mailing Address - Phone:614-761-1255
Mailing Address - Fax:614-552-0168
Practice Address - Street 1:5965 EAST BROAD STREET
Practice Address - Street 2:STE 460
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1562
Practice Address - Country:US
Practice Address - Phone:614-761-1255
Practice Address - Fax:614-562-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0628226Medicaid
CA4465OtherMEDICARE RAILROAD
OH9919034Medicare PIN