Provider Demographics
NPI:1962527143
Name:CENTRAL OHIO EYE PHYSICIANS AND SURGEONS
Entity type:Organization
Organization Name:CENTRAL OHIO EYE PHYSICIANS AND SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-224-4297
Mailing Address - Street 1:262 NEIL AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7312
Mailing Address - Country:US
Mailing Address - Phone:614-224-4297
Mailing Address - Fax:614-224-5668
Practice Address - Street 1:262 NEIL AVE STE 420
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7312
Practice Address - Country:US
Practice Address - Phone:614-224-4297
Practice Address - Fax:614-224-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0139951Medicaid
OH0800048OtherUNITED HEALTHCARE GROUP #
OH9217521Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
OHCN3185Medicare ID - Type UnspecifiedRAILROAD MEDICARE GROUP