NPIMap

Wing Eyecare

Organization Active NPI Optometrist · Crescent Springs, KY

NPI 1477091080 · NPPES record last updated Feb 2, 2017

Key facts

NPI
1477091080
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
WING EYECARE
Practice address
705 Buttermilk Pike
Suite 100
Crescent Springs, KY 41017-1318
Phone
(859) 341-3937
Fax
(859) 341-3940
NPI assigned
Feb 2, 2017
Organization subpart
No

Authorized official

Name
Stacy Borchers
Title
Insurance Manager
Phone
(513) 922-9000

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Wing Eyecare (4 organizations share this tax ID)

Locations

705 Buttermilk Pike
Ste 100
Crescent Springs, KY 41017
Phone (859) 341-3937

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

705 Buttermilk Pike
Suite 100
Crescent Springs, KY 41017-1318

Mailing address

2920 Glendale Milford Rd
Suite 220
Cincinnati, OH 45241-3131
Phone (513) 922-9000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2017.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1477091080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 GLENDALE MILFORD RD",
            "address_2": "SUITE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413131",
            "telephone_number": "513-922-9000",
            "fax_number": "513-922-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BUTTERMILK PIKE",
            "address_2": "SUITE 100",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171318",
            "telephone_number": "859-341-3937",
            "fax_number": "859-341-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WING EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "BORCHERS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "513-922-9000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent Springs, KY

All providers in Crescent Springs, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.