Provider Demographics
NPI:1952573172
Name:LOWELL C EICHER
Entity Type:Organization
Organization Name:LOWELL C EICHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:EICHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-376-9439
Mailing Address - Street 1:180 S ALLISON AVE
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-3624
Mailing Address - Country:US
Mailing Address - Phone:937-376-9439
Mailing Address - Fax:937-376-2783
Practice Address - Street 1:180 S ALLISON AVE
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-3624
Practice Address - Country:US
Practice Address - Phone:937-376-9439
Practice Address - Fax:937-376-2783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3022152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT46723Medicare UPIN
OH0873620001Medicare NSC