Organization
DAYTON EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE PINTO (BILLING MANAGER)
(937) 320-5125
Entity
Organization
Contact information
Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3237
(937) 320-2020
(937) 320-0504
Mailing address
89 SYLVANIA DR, DAYTON, OH 45440-3237
(937) 320-2020
(937) 320-0504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35040115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005914
ANTHEM
OH
05
—
0391151
—
OH
01
—
180031662
MEDICARE RAILROAD
OH
Enumeration date
07/08/2006
Last updated
02/13/2013
Update your record
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