Provider Demographics
NPI:1699027722
Name:WING EYECARE,INC.
Entity type:Organization
Organization Name:WING EYECARE,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-921-8433
Mailing Address - Street 1:1090 STATE ROUTE 28
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-4936
Mailing Address - Country:US
Mailing Address - Phone:513-575-9464
Mailing Address - Fax:
Practice Address - Street 1:1090 STATE ROUTE 28
Practice Address - Street 2:SUITE A
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-4936
Practice Address - Country:US
Practice Address - Phone:513-575-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-13
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty