# EYES ON STARK SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023373628
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 4319 EXECUTIVE CIRCLE NW, CANTON, OH 44718
- **Practice address phone:** (330) 526-0530
- **Practice address fax:** (330) 526-0531
- **Mailing address:** 4319 EXECUTIVE CIR NW, CANTON, OH 44718-2999
- **Mailing address phone:** (330) 526-0530
- **Mailing address fax:** (330) 526-0531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 02/08/2023