Organization
SUBURBAN VISION CARE, INC.
Active
Organization
SUBURBAN VISION CARE, INC.
Active
Other names
Suburban Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER W. SHOEMAKER OD (PRESIDENT)
(330) 629-9870
Entity
Organization
Contact information
Practice address
6828 MARKET ST, BOARDMAN, OH 44512-4503
(330) 629-9870
(330) 629-9791
Mailing address
6828 MARKET ST, BOARDMAN, OH 44512-4503
(330) 629-9870
(330) 629-9791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3497 / T1403
OH
332H00000X
Eyewear Supplier
Primary
152W00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139002
ANTHEM
OH
05
—
2280106
—
OH
01
—
302544644012
MEDICAL MUTUAL
OH
Enumeration date
08/14/2007
Last updated
07/11/2008
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