Organization
EISENBREI PLAZA OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN EISENBREI OPTICIAN (OWNER)
(330) 492-0038
Entity
Organization
Contact information
Practice address
1130 30TH ST NW, CANTON, OH 44709-2921
(330) 492-0038
(330) 492-0038
Mailing address
1130 30TH ST NW, CANTON, OH 44709-2921
(330) 492-0038
(330) 492-2914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SC2290
OH
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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