Organization
UNION VISION CENTER OF MANCHESTER RD, INC.
Active
Other names
Co-Op Optical
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ANN FORSEA L.D.O. (PRESIDENT AND COO)
(330) 753-2266
Entity
Organization
Contact information
Practice address
2355 MANCHESTER ROAD, AKRON, OH 44314-3639
(330) 753-2266
(330) 753-3320
Mailing address
2355 MANCHESTER ROAD, AKRON, OH 44314-3639
(330) 753-2266
(330) 753-3320
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2089-SC
OH
332H00000X
Eyewear Supplier
OH 2089SC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289254
—
OH
Enumeration date
05/18/2006
Last updated
10/22/2012
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