Provider Demographics
NPI:1861543571
Name:TIPP EYE CENTER INC
Entity type:Organization
Organization Name:TIPP EYE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:RANFT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-667-1270
Mailing Address - Street 1:115 S TIPPECANOE DR
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-1194
Mailing Address - Country:US
Mailing Address - Phone:937-667-1270
Mailing Address - Fax:937-667-7198
Practice Address - Street 1:115 S TIPPECANOE DR
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-1194
Practice Address - Country:US
Practice Address - Phone:937-667-1270
Practice Address - Fax:937-667-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4140152W00000X
OH3282152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCK3500OtherRAIL ROAD MEDICARE
OH31144413043200OtherANTHEM IDENTIFIER
OH0181342Medicaid
OH=========OtherMEDICAL MUTUAL
OH=========-00OtherWORKERS COMPENSATION
OH0181342Medicaid
OH9297331Medicare PIN