Provider Demographics
NPI:1487698288
Name:CHORICH, LOUIS J III (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:J
Last Name:CHORICH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 POST RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8214
Mailing Address - Country:US
Mailing Address - Phone:614-339-8500
Mailing Address - Fax:614-339-8501
Practice Address - Street 1:6655 POST RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8214
Practice Address - Country:US
Practice Address - Phone:614-339-8500
Practice Address - Fax:614-339-8501
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067637207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00357179OtherRAILROAD MEDICARE
OH0164405Medicaid
000000501149OtherANTHEM
OH5730181OtherAETNA
OH01816936Medicare PIN
OH4197212Medicare PIN
CH4197211Medicare PIN
OH00357179OtherRAILROAD MEDICARE
CH0816936Medicare PIN
OH4197211Medicare PIN
OH0816935Medicare PIN
OH5730181OtherAETNA
000000501149OtherANTHEM
OH0164405Medicaid
OHCH4197212Medicare PIN