Provider Demographics
NPI:1245842137
Name:INFINITY EYE CARE LLC
Entity type:Organization
Organization Name:INFINITY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:MCKINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-583-4441
Mailing Address - Street 1:PO BOX 1118
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-9118
Mailing Address - Country:US
Mailing Address - Phone:330-583-4441
Mailing Address - Fax:
Practice Address - Street 1:9981 VAIL DR UNIT A2
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4901
Practice Address - Country:US
Practice Address - Phone:330-583-4441
Practice Address - Fax:330-583-4471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty