Provider Demographics
NPI:1194274688
Name:WING EYECARE, INC.
Entity type:Organization
Organization Name:WING EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROFESSIONAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-922-9000
Mailing Address - Street 1:2920 GLENDALE MILFORD RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3131
Mailing Address - Country:US
Mailing Address - Phone:513-922-9000
Mailing Address - Fax:513-922-4050
Practice Address - Street 1:40 N MAIN ST
Practice Address - Street 2:SUITE 30
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45423-1021
Practice Address - Country:US
Practice Address - Phone:937-222-2025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty