Healthcare Provider Details

I. General information

NPI: 1285986802
Provider Name (Legal Business Name): NORTHERN OHIO EYE CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36505 DETROIT RD
AVON OH
44011-1509
US

IV. Provider business mailing address

36505 DETROIT RD
AVON OH
44011-1509
US

V. Phone/Fax

Practice location:
  • Phone: 440-934-5816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM SCHNEIDER
Title or Position: GENERAL MANAGER
Credential:
Phone: 440-550-4231