Healthcare Provider Details

I. General information

NPI: 1902079247
Provider Name (Legal Business Name): INSIGHT VISION CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 07/14/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 ANDREAS DR NE STE A
SUGARCREEK OH
44681-7503
US

IV. Provider business mailing address

PO BOX 245
SUGARCREEK OH
44681-0245
US

V. Phone/Fax

Practice location:
  • Phone: 330-852-2512
  • Fax:
Mailing address:
  • Phone: 330-852-2512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3807/220
License Number StateOH

VIII. Authorized Official

Name: ARI T YODER
Title or Position: DOCTOR
Credential: OD
Phone: 330-852-2512