Healthcare Provider Details

I. General information

NPI: 1316024326
Provider Name (Legal Business Name): SPECIALTY EYE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 W MAIN STREET
NEWARK OH
43055-1345
US

IV. Provider business mailing address

1651 W MAIN STREET
NEWARK OH
43055-1345
US

V. Phone/Fax

Practice location:
  • Phone: 740-522-3937
  • Fax: 740-522-6766
Mailing address:
  • Phone: 740-522-3937
  • Fax: 740-522-6766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAHIN SHAHINFAR
Title or Position: MEDICAL DIRECTOR OWNER
Credential: MD
Phone: 740-522-3937