Provider Demographics
NPI:1932578929
Name:SPECIAL-EYES VISION CARE, LLC
Entity Type:Organization
Organization Name:SPECIAL-EYES VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SCALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-560-3365
Mailing Address - Street 1:520 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1578
Mailing Address - Country:US
Mailing Address - Phone:614-560-3365
Mailing Address - Fax:
Practice Address - Street 1:4199 MORSE XING
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6015
Practice Address - Country:US
Practice Address - Phone:614-269-5517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-19
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6069152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty