Organization
THE EYE SITE AT NEW SEASONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN HAZELWOOD (BUSINESS MANAGER)
(330) 319-4442
Entity
Organization
Contact information
Practice address
1485 S HAWKINS AVE STE 130, AKRON, OH 44320-3473
(330) 208-9427
(330) 208-9428
Mailing address
1485 S HAWKINS AVE STE 130, AKRON, OH 44320-3473
(330) 208-9427
(330) 208-9428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933428
—
OH
Enumeration date
06/26/2017
Last updated
07/21/2022
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