Provider Demographics
NPI:1801302906
Name:PRICE FAMILY EYECARE PROFESSIONALS, LLC
Entity type:Organization
Organization Name:PRICE FAMILY EYECARE PROFESSIONALS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-654-4762
Mailing Address - Street 1:135 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-2506
Mailing Address - Country:US
Mailing Address - Phone:740-654-4762
Mailing Address - Fax:740-653-7629
Practice Address - Street 1:135 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-2506
Practice Address - Country:US
Practice Address - Phone:740-654-4762
Practice Address - Fax:740-653-7629
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRICE FAMILY EYECARE PROFESSIONALS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty