# NORTHEAST OHIO EYE SURGEONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST OHIO EYE SURGEONS, INC.
- **Other names:** Northeast Ohio Eye Surgeons
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366218687
- **Legal business name:** NORTHEAST OHIO EYE SURGEONS, INC.
- **Authorized official:** MARGARITA TACEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (616) 893-9794

## Contact information

- **Practice address:** 915 LINCOLN WAY E, MASSILLON, OH 44646-6833
- **Practice address phone:** (330) 833-1091
- **Practice address fax:** (330) 833-1092
- **Mailing address:** 915 LINCOLN WAY E, MASSILLON, OH 44646-6833
- **Mailing address phone:** (330) 833-1091
- **Mailing address fax:** (330) 833-1092

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023