LCA VISION INC
SC 13G, 1999-01-28
SPECIALTY OUTPATIENT FACILITIES, NEC
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                         UNITED STATES 
               SECURITIES AND EXCHANGE COMMISSION
                     Washington, D.C.  20549



                         SCHEDULE 13G



            Under the Securities Exchange Act of 1934


                 (Amendment No. ___________)


                         LCA-Vision Inc.
                        (Name of Issuer)

                          Common Stock
                  (Title of Class of Securities)

                           501803209
                         (CUSIP Number)

                        December 31, 1998
     (Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:

     ___ Rule 13d-1(b)

     ___ Rule 13d-1(c)

     _X_ Rule 13d-1(d)


* The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to the
subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided in
a prior cover page.
 
The information required in the remainder of this cover page shall
not be deemed to be "filed" for the purpose of Section 18 of the
Securities Exchange Act of 1934 ("Act") or otherwise subject to the
liabilities of that section of the Act but shall be subject to all
other provisions of the Act (however, see the Notes).




<PAGE>
CUSIP NO.   501803209

1.  NAME OF REPORTING PERSONS.

    I.R.S. IDENTIFICATION NUMBER OF ABOVE PERSONS (entities only).

    Craig P.R. Joffe

2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See
     Instructions)

     (a) _________________________________________________________ 
       
     (b) _________________________________________________________ 

3.   SEC USE ONLY ________________________________________________


4.   CITIZENSHIP OR PLACE OF ORGANIZATION         U.S.


Number of                 5.  SOLE VOTING POWER: 2,500,313
Shares                    
Beneficially Reporting    6.  SHARED VOTING POWER: -0-
Owned By                   
Each                      7.  SOLE DISPOSITIVE POWER: 2,500,313
Person with:                
                          8.  SHARED DISPOSITIVE POWER: -0-

9.   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:
          2,500,313

10.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
     SHARES (See Instructions): Not Applicable


11.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 6.1%

12.  TYPE OF REPORTING PERSON (See Instructions): IN
 
<PAGE>
Item 1.

     (a)     Name of Issuer: LCA-Vision Inc.

     (b)     Address of Issuer's Principal Executive Office:  
                  LCA-Vision Inc.
                  7840 Montgomery Road
                  Cincinnati, Ohio 45236

Item 2.

     (a)     Name of Person Filing: Craig P.R. Joffe

     (b)     Address of Principal Business Office:
                  LCA-Vision Inc.
                  7840 Montgomery Road
                  Cincinnati, Ohio 45236

     (c)     Citizenship: United States 
 
     (d)     Title of Class of Securities:  Common Stock

     (e)     CUSIP Number: 501803209

Item 3.  Not Applicable.
 
Item 4.  Ownership.

     Provide the following information regarding the aggregate
number and percentage of the class of securities of the issuer
identified in Item 1.
 
     (a)     Amount Beneficially Owned: 2,500,313.

     (b)     Percent of Class: 6.1%.
     
     (c)     Number of shares as to which such person has:
 
          (i)  sole power to vote or to direct the vote: 2,500,313.

         (ii) shared power to vote or to direct the vote:  -0-.
 
        (iii) sole power to dispose or direct the disposition 
                  of: 2,500,313.
 
         (iv) shared power to dispose or direct the disposition    
                   of: -0-.

<PAGE>
                        EXCHANGE ACT RULES

By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired and are held
in the ordinary course of business and were not acquired and are not
held for the purpose of or with the effect of changing or
influencing the control of the issuer of the securities and were not
acquired and are not held in connection with or as a participant in
any transaction having that purpose or effect.


                             SIGNATURE
 
     After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this statement
is true, complete and correct.
  
                                        January 25, 1999
                                               Date
 
                                       /s/Craig P.R. Joffe         
                                             Signature


                                         Craig P.R. Joffe
                                __________________________________ 
                                             Name/Title


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