Healthcare Provider Details

I. General information

NPI: 1417791062
Provider Name (Legal Business Name): SALER COMPREHENSIVE EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 BASS PRO DR
BOSTON HEIGHTS OH
44236-1198
US

IV. Provider business mailing address

3700 MOUNT PLEASANT ST NW
NORTH CANTON OH
44720-4750
US

V. Phone/Fax

Practice location:
  • Phone: 330-341-7013
  • Fax:
Mailing address:
  • Phone: 330-639-5399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RYAN JAMES SALER
Title or Position: OWNER
Credential: OD
Phone: 330-639-5399