# FAIRVIEW EYE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE EYE CENTERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275512709
- **Authorized official:** THEODORE E LOIZOS MD (PRESIDENT)
- **Authorized official phone:** (440) 333-7346

## Contact information

- **Practice address:** 21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
- **Practice address phone:** (440) 333-7346
- **Practice address fax:** (440) 333-0273
- **Mailing address:** 21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
- **Mailing address phone:** (440) 333-7346
- **Mailing address fax:** (440) 333-0273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 556859 | OH | — |
| 207W00000X | Ophthalmology Physician | 556859 | OH | Yes |
| 332H00000X | Eyewear Supplier | 556859 | OH | — |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0769770001 | ADMINISTAR DME | OH |
| 05 | — | 0826931 | — | OH |
| 01 | — | 1382523 | UMWA | OH |
| 01 | — | CJ0366 | RAILROAD MEDICARE ID LEGACY | OH |