Organization
EYEWEAR INTERNATIONAL/TV OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA VAUGHN (CEO)
(216) 896-0316
Entity
Organization
Contact information
Practice address
23611 CHAGRIN BLVD STE 120, BEACHWOOD, OH 44122-5540
(216) 896-0316
Mailing address
23611 CHAGRIN BLVD STE 120, BEACHWOOD, OH 44122-5540
(216) 896-0316
(216) 896-9997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188872
—
OH
Enumeration date
08/26/2009
Last updated
03/07/2024
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