Provider Demographics
NPI:1285795963
Name:VALLEY EYE CARE INC
Entity type:Organization
Organization Name:VALLEY EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILORAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-264-7744
Mailing Address - Street 1:2230 SUNSET BLVD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2230 SUNSET BLVD
Practice Address - Street 2:SUITE ONE
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2404
Practice Address - Country:US
Practice Address - Phone:740-264-7744
Practice Address - Fax:740-266-3166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0987437Medicaid
OH000000164157OtherANTHEM
OHCF1391OtherRAILROAD MEDICARE
OH0987437Medicaid
OH=========00OtherOHIO BWC
OH9932151Medicare PIN