# EYE SPECIALIST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679522809
- **Authorized official:** TERRY SCHULTZ OD (CENTER DIRECTOR)
- **Authorized official phone:** (866) 587-8790

## Contact information

- **Practice address:** 721 WEST MAIN STREET, WILMINGTON, OH 45177-2126
- **Practice address phone:** (937) 382-7724
- **Practice address fax:** (937) 382-7726
- **Mailing address:** 50 N PLAZA BLVD, CHILLICOTHE, OH 45601-1757
- **Mailing address phone:** (866) 587-8790
- **Mailing address fax:** (740) 774-4061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 09/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2387199 | — | OH |