# EYE CARE ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYE CARE ASSOCIATES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336192038
- **Legal business name:** EYE CARE ASSOCIATES, INC
- **Authorized official:** KAYLA R WOLSIEFER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (330) 884-6584

## Contact information

- **Practice address:** 1075 W WESTERN RESERVE RD, POLAND, OH 44514-3541
- **Practice address phone:** (330) 746-7691
- **Practice address fax:** (330) 743-8368
- **Mailing address:** 10 DUTTON DR, YOUNGSTOWN, OH 44502-1818
- **Mailing address phone:** (330) 746-7691
- **Mailing address fax:** (330) 743-8368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 01/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2102272 | — | OH |
| 01 | — | CB4057 | RAILROAD MEDICARE | OH |