Basic Information
| Provider Information | |||||||||
| NPI: | 1386798650 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LCA-VISION INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7840 MONTGOMERY RD | ||||||||
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| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452364301 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 5530 WINDWARD PKWY | ||||||||
| Address2: | SUITE 420 | ||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300048969 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7703468076 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | KIRK | ||||||||
| AuthorizedOfficialFirstName: | SCOTT | ||||||||
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| AuthorizedOfficialTitleorPosition: | V.P. MANAGED CARE | ||||||||
| AuthorizedOfficialTelephone: | 8006884550 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QS0132X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ophthalmologic Surgery |
No ID Information.