SOUTHERN OHIO EYE SURGICAL ASSOCIATES LLC (NPI# 1447286059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286059 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO EYE SURGICAL ASSOCIATES LLC |
| Practice Address |
159 E 2nd St Chillicothe OH 45601-2526 |
| Practice Telephone | 7407736347 |
| Practice Fax Number | 7407739093 |
| Mailing Telephone | 7407736347 |
| Mailing Fax Number | 7407739093 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | DR. STEPHEN EDWARD DEMICK (OWNER) |
| Authorized Official Telephone | 7407736347 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | 35078998E | OH | Allopathic & Osteopathic Physicians |
| N | 152W00000X | Optometrist | 4930 | OH | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | 22313 | WV | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 35059420D | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2383951 | 05 | |
| OH | 2383988 | 05 | |
| OH | 2544367 | 05 | |
| OH | MEDICARE DME MAC | 5257400001 | 01 |
| Street Address |
159 E 2ND ST |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676942 | Stephen Edward Demick | Ophthalmology | 159 E 2nd St, Chillicothe, OH 45601-2526 | 2005-06-01 |
| 1114538246 | Kyle Andrew Williams | Optometrist | 159 E 2nd St, Chillicothe, OH 45601-2526 | 2020-08-12 |
| 1760577563 | Southern Ohio Ophthalmic Anesthesia, LLC | Anesthesiology | 159 E 2nd St, Chillicothe, OH 45601-2526 | 2006-10-04 |
| 1710988936 | Edward J Sheridan | Ophthalmology | 159 E 2nd St, Chillicothe, OH 45601-2526 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619192366 | Richard Lee Lockwood | Ophthalmology | 616 Central Ctr, Chillicothe, OH 45601-2248 | 2007-04-16 |
| 1689676942 | Stephen Edward Demick | Ophthalmology | 159 E 2nd St, Chillicothe, OH 45601-2526 | 2005-06-01 |
| 1376059956 | Richard L. Lockwood, D.o., Inc | Ophthalmology | 616 Central Ctr, Chillicothe, OH 45601-2248 | 2017-12-19 |
| 1679675466 | Jaisree Rani Chitluri | Ophthalmology | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2006-09-02 |
| 1710988936 | Edward J Sheridan | Ophthalmology | 159 E 2nd St, Chillicothe, OH 45601-2526 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1952913311 | Dayton Glaucoma and Cataract Consultants Inc | Ophthalmology | 1222 S Patterson Blvd Ste 300, Dayton, OH 45402-2643 | 2020-08-18 |
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1063865863 | Claudine Bellerive | Ophthalmology | Cole Eye Institute 9500 Euclid Avenue I 13, Cleveland, OH 44195-0001 | 2016-07-15 |
| 1396193009 | Arif Omar Khan | Ophthalmology | Ophthalmology Cole Eye Institute I30, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-03 |
| 1053768374 | Kevin Halenda | Ophthalmology | Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195-2536 | 2016-05-17 |
| 1316301765 | Joseph Ling | Ophthalmology | 7001 S Edgerton Rd Ste B, Brecksville, OH 44141-4206 | 2016-04-12 |
| 1568825222 | Matthew Phillip Nicholas | Ophthalmology | 9500 Euclid Ave # I30, Cleveland, OH 44195-4201 | 2016-03-31 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.