Individual
DR. BRANDON RANDALL MACEYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8004 SOUTH AVE, BOARDMAN, OH 44512-6153
(330) 726-1616
(330) 726-1682
Mailing address
8004 SOUTH AVE, BOARDMAN, OH 44512-6153
(330) 726-1616
(330) 726-1682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006756
OH
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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