Organization
CHILDREN'S EYE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE ELISE MORRISON (BILLING MANAGER)
(513) 680-6004
Entity
Organization
Contact information
Practice address
9302 TOWNE SQUARE AVE, BLUE ASH, OH 45242-6943
(513) 791-2114
(513) 791-3672
Mailing address
9302 TOWNE SQUARE AVE, BLUE ASH, OH 45242-6943
(513) 791-2114
(513) 791-3672
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
35051262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0571377
OH BCMH
OH
05
—
0571377
—
OH
01
—
163181
INDIANA BCMH
IN
05
—
64784424
—
KY
Enumeration date
03/23/2012
Last updated
03/23/2012
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