Southern Ohio Eye Surgical Assoc., LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

27012133 Issued in OH

Legal business name

SOUTHERN OHIO EYE SURGICAL ASSOC., LLC

Practice address

1456 Jackson Pike
Suite 2
Gallipolis, OH 45631-2602

Phone

(740) 446-0112

NPI assigned

Apr 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Demick

Title

Owner

Phone

(740) 773-6347

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J Sheridan, M.D.

  • Ophthalmology Physician
  • Chillicothe, OH
  • NPI 1710988936
  NPD (past)
• Derrick Alan Montgomery, MD

  • Ophthalmology Physician
  • Silver Spring, MD
  • NPI 1225133499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1285807685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 2ND ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012526",
            "telephone_number": "740-773-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 JACKSON PIKE",
            "address_2": "SUITE 2",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456312602",
            "telephone_number": "740-446-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO EYE SURGICAL ASSOC., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "DEMICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-773-6347",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "27012133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS",
            "identifier": "5257400001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rain Smith
• Staci Charlene Smith, DO
• Cherish Olivia Soles, RN
• Southeast Ohio Emergency Medical Services District
• Southern Ohio Emergency Physicians LLP
• Southern Ohio Solutions, Inc.
• Brittany Anne Spencer, NP-C
• Spring Valley Family Pharmacy LLC
• Tracy Springer
• Deanna Sprouse

• Eyewear Supplier in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.