Organization
BELMONT EYE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERIF I HANNA M.D. (MEDICAL DIRECTOR)
(330) 759-7672
Entity
Organization
Contact information
Practice address
3020 BELMONT AVE, YOUNGSTOWN, OH 44505-1846
(330) 759-7672
(330) 759-4768
Mailing address
3020 BELMONT AVE, YOUNGSTOWN, OH 44505-1846
(330) 759-7672
(330) 759-4768
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157188
ANTHEM
OH
05
—
0151535
—
OH
Enumeration date
10/19/2006
Last updated
05/25/2011
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