Provider Demographics
NPI:1447441282
Name:ANDERSON HILLS EYE, INC.
Entity type:Organization
Organization Name:ANDERSON HILLS EYE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-388-4001
Mailing Address - Street 1:7815 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4207
Mailing Address - Country:US
Mailing Address - Phone:513-388-4001
Mailing Address - Fax:513-388-4013
Practice Address - Street 1:415 HOME ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1478
Practice Address - Country:US
Practice Address - Phone:513-388-4001
Practice Address - Fax:513-388-4013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65925760Medicaid
OH0561664Medicaid
OH9329472Medicare PIN