Organization
FAIRVIEW EYE CENTER, INC
Active
Other names
THE EYE CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE E LOIZOS MD (PRESIDENT)
(440) 333-7346
Entity
Organization
Contact information
Practice address
21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
(440) 333-7346
(440) 333-0273
Mailing address
21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
(440) 333-7346
(440) 333-0273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
556859
OH
207W00000X
Ophthalmology Physician
Primary
556859
OH
332H00000X
Eyewear Supplier
556859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0769770001
ADMINISTAR DME
OH
05
—
0826931
—
OH
01
—
1382523
UMWA
OH
01
—
CJ0366
RAILROAD MEDICARE ID LEGACY
OH
Enumeration date
01/12/2006
Last updated
10/27/2016
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