# WARREN EYE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942499512
- **Authorized official:** DR. JAMES V MARTUCCIO JR. M.D. (OWNER/EMPLOYEE)
- **Authorized official phone:** (330) 395-2020

## Contact information

- **Practice address:** 302 NILES CORTLAND RD NE, WARREN, OH 44484-1940
- **Practice address phone:** (330) 395-2020
- **Practice address fax:** (330) 395-6200
- **Mailing address:** 302 NILES CORTLAND RD NE, WARREN, OH 44484-1940
- **Mailing address phone:** (330) 395-2020
- **Mailing address fax:** (330) 395-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-05-7104-M | OH | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 11/05/2007