Organization · NPI-2
2020 Eyecare LLC
Optometrist · Loveland, OH
NPI number1467077958
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1467077958
- Entity type
- Organization (NPI-2)
- Legal business name
- 2020 Eyecare LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – |
Practice location
9553 Fields Ertel RdLoveland, OH 45140-7320
Phone 513-428-2020
Mailing address
9553 Fields Ertel RdLoveland, OH 45140-7320
Phone 513-428-2020
Authorized official
Alex David Gibberman
Optometrist
5134704523
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