Organization
EYE CARE ASSOCIATES, INC
Active
Parent organization
EYE CARE ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CARE ASSOCIATES, INC
Authorized official
KAYLA R WOLSIEFER (CREDENTIALING SPECIALIST)
(330) 884-6584
Entity
Organization
Contact information
Practice address
10 DUTTON DR, YOUNGSTOWN, OH 44502-1818
(330) 746-7691
(330) 743-8368
Mailing address
10 DUTTON DR, YOUNGSTOWN, OH 44502-1818
(330) 884-6584
(330) 743-8368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9331600
—
OH
01
—
CB4057
RAILROAD MEDICARE
OH
Enumeration date
05/17/2006
Last updated
01/06/2025
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