Provider Demographics
NPI:1992759203
Name:UNIVERSITY EYE PHYSICIANS, INC
Entity type:Organization
Organization Name:UNIVERSITY EYE PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-245-3066
Mailing Address - Street 1:PO BOX 631995
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1995
Mailing Address - Country:US
Mailing Address - Phone:513-245-3064
Mailing Address - Fax:513-245-3070
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:SUITE 1700
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-584-8805
Practice Address - Fax:513-584-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0326623Medicaid
OH0326623Medicaid