Provider Demographics
NPI:1720499718
Name:EYE 2 EYE MOBILE DOCS
Entity Type:Organization
Organization Name:EYE 2 EYE MOBILE DOCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:513-633-0060
Mailing Address - Street 1:2220 GRANDVIEW DR
Mailing Address - Street 2:STE 120
Mailing Address - City:FT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1695
Mailing Address - Country:US
Mailing Address - Phone:858-578-0393
Mailing Address - Fax:859-815-8896
Practice Address - Street 1:2220 GRANDVIEW DR
Practice Address - Street 2:STE 120
Practice Address - City:FT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-1695
Practice Address - Country:US
Practice Address - Phone:858-578-0393
Practice Address - Fax:859-815-8896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5506152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty