Organization
CLASSIC OPTICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL ZBAN (PROJECT MANAGER)
(330) 759-8245
Entity
Organization
Contact information
Practice address
3710 BELMONT AVE, YOUNGSTOWN, OH 44505-1406
(330) 759-8245
(330) 759-8300
Mailing address
3710 BELMONT AVE, YOUNGSTOWN, OH 44505-1406
(330) 759-8245
(330) 759-8300
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001278
—
OH
05
—
003190959A
—
GA
05
—
0086601800
—
AL
05
—
00AQ
—
MI
05
—
10026655800
—
NE
05
—
1020469
—
VT
05
—
10796400
—
FL
05
—
129503
—
AL
05
—
2559401
—
LA
05
—
300003890260001
—
KS
05
—
300004473
—
IN
05
—
3080114
—
NH
05
—
333657300
—
MD
05
—
38440000
—
WI
05
—
514735
—
AZ
05
—
86934031
—
NM
05
—
90000144065
—
CO
05
—
IDTPID008181
—
ID
05
—
METPID002653
—
ME
05
—
TP025912
—
AR
Enumeration date
02/14/2006
Last updated
01/27/2025
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