Healthcare Provider Details

I. General information

NPI: 1467528182
Provider Name (Legal Business Name): BARBERTON EYE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SPRINGSIDE DR SUITE C300
AKRON OH
44333-2468
US

IV. Provider business mailing address

31 CONSERVATORY DR
BARBERTON OH
44203-4281
US

V. Phone/Fax

Practice location:
  • Phone: 330-666-0707
  • Fax: 330-668-4884
Mailing address:
  • Phone: 330-745-4404
  • Fax: 330-753-9162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CHRIS A CALAWAY
Title or Position: OWNER
Credential: OD
Phone: 330-745-4404