Organization
ATHENS EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE A FOSTER O.D. (OWNER/PHYSICIAN)
(740) 594-2271
Entity
Organization
Contact information
Practice address
14 UNIVERSITY ESTATES BLVD, SUITE 100, ATHENS, OH 45701-3375
(740) 594-2271
(740) 594-2270
Mailing address
14 UNIVERSITY ESTATES BLVD, SUITE 100, ATHENS, OH 45701
(740) 594-2271
(740) 594-2270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3628
OH
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104738
—
OH
Enumeration date
05/11/2006
Last updated
05/31/2024
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