Provider Demographics
NPI:1548031206
Name:DR JAMES M. KOVER O.D. EYE CARE. PA, CO.
Entity type:Organization
Organization Name:DR JAMES M. KOVER O.D. EYE CARE. PA, CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KOVER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-307-1022
Mailing Address - Street 1:2206 OAKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-1161
Mailing Address - Country:US
Mailing Address - Phone:330-307-1022
Mailing Address - Fax:
Practice Address - Street 1:1301 BOARDMAN POLAND RD STE J
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1960
Practice Address - Country:US
Practice Address - Phone:234-217-2167
Practice Address - Fax:330-758-5693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty