MEDICARE: THE EYE SOURCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6012	OH

General Provider Information

NPI Number	:	1275892994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EYE SOURCE

Provider Business Mailing Address
First Line	:	9424 STATE ROUTE 14
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241
Country	:	US
Telephone Number	:	330-422-1111
Fax Number	:	330-422-1110

Provider Business Practice Location Address
First Line	:	9424 STATE ROUTE 14
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5226
Country	:	US
Telephone Number	:	330-422-1111
Fax Number	:	330-422-1110

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CYNTHIA E RIPKIN
Credential	:
Telephone Number	:	330-422-1111

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/15/2012

Similar Medicare Providers

1033041959 — THE CLEVELAND CLINIC FOUNDATION
Practice Location Address:

9424 STATE ROUTE 14 , STE A
STREETSBORO, OH
44241-5226

Practice Phone: 216-444-2273
Practice Fax:

1750338315 — DOUGLAS J RIPKIN M.D.
Practice Location Address:

9424 STATE ROUTE 14
STREETSBORO, OH
44241-5226

Practice Phone: 330-422-1111
Practice Fax: 330-422-1110

1508938093 — LUONG VAN VO M.D.
Practice Location Address:

9424 STATE ROUTE 14
STREETSBORO, OH
44241-5226

Practice Phone: 330-626-3455
Practice Fax: 330-626-4189

1487950937 — RIPKIN VISION & LASER CENTER INC
Practice Location Address:

9424 STATE ROUTE 14
STREETSBORO, OH
44241-5226

Practice Phone: 330-422-1111
Practice Fax: 330-422-1110

1134588239 — UNITY HEALTH NETWORK, LLC
Practice Location Address:

9318 STATE ROUTE 14
STREETSBORO, OH
44241-5224

Practice Phone: 330-926-3231
Practice Fax: 330-255-5080

1306849401 — JENNIFER L CARROLL M.D.
Practice Location Address:

9318 STATE ROUTE 14 , 3RD FLOOR
STREETSBORO, OH
44241-5224

Practice Phone: 330-626-2710
Practice Fax: 330-626-5978

Directions to “THE EYE SOURCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.