Healthcare Provider Details

I. General information

NPI: 1508964370
Provider Name (Legal Business Name): NORTHERN OHIO EYE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 PEARL RD
PARMA HEIGHTS OH
44130-3000
US

IV. Provider business mailing address

6355 PEARL RD
PARMA HEIGHTS OH
44130-3000
US

V. Phone/Fax

Practice location:
  • Phone: 440-886-2020
  • Fax: 440-886-2779
Mailing address:
  • Phone: 440-886-2020
  • Fax: 440-886-2779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35063646
License Number StateOH

VIII. Authorized Official

Name: DR. STANLEY FRANCIS PAJKA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 440-886-2020