Organization
SYSTEM OPTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD L BEYER DO (PRESIDENT)
(330) 630-9699
Entity
Organization
Contact information
Practice address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 633-7165
Mailing address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 633-7165
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
507
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233057
ANTHEM
—
01
—
100770
KAISER PERMANENTE
—
05
—
2725108
—
OH
01
—
341571960
AETNA
—
01
—
406252
UNITED HEALTHCARE
—
01
—
490004292
RAILROAD MEDICARE
OH
01
—
9002432
SUMMACARE
—
Enumeration date
03/15/2007
Last updated
06/18/2021
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