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Organization
EYE CARE ASSOCIATES, INC
Active
Organization
EYE CARE ASSOCIATES, INC
Active
Parent organization
EYE CARE ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CARE ASSOCIATES, INC
Authorized official
KAYLA R WOLSIEFER (CREDENTIALING SPECIALIST)
(330) 884-6584
Entity
Organization
Contact information
Practice address
1075 W WESTERN RESERVE RD, POLAND, OH 44514-3541
(330) 746-7691
(330) 743-8368
Mailing address
10 DUTTON DR, YOUNGSTOWN, OH 44502-1818
(330) 746-7691
(330) 743-8368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102272
—
OH
01
—
CB4057
RAILROAD MEDICARE
OH
Enumeration date
05/17/2006
Last updated
01/06/2025
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