Provider Demographics
NPI:1144372996
Name:COMPREHENSIVE EYECARE OF CENTRAL OH, INC
Entity type:Organization
Organization Name:COMPREHENSIVE EYECARE OF CENTRAL OH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHIORAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-890-5692
Mailing Address - Street 1:450 ALKYRE RUN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6910
Mailing Address - Country:US
Mailing Address - Phone:614-890-5692
Mailing Address - Fax:
Practice Address - Street 1:450 ALKYRE RUN
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6910
Practice Address - Country:US
Practice Address - Phone:614-890-5692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000160690OtherANTHEM
OH=========OtherTIN
OH000000160690OtherANTHEM
OH9190991Medicare ID - Type Unspecified