Healthcare Provider Details

I. General information

NPI: 1720155534
Provider Name (Legal Business Name): ASSOCIATED EYE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 REGENCY CT STE 100
TOLEDO OH
43623-3074
US

IV. Provider business mailing address

1000 REGENCY CT STE 100
TOLEDO OH
43623-3074
US

V. Phone/Fax

Practice location:
  • Phone: 419-882-0588
  • Fax: 419-885-3070
Mailing address:
  • Phone: 419-882-0588
  • Fax: 419-885-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: TAMARA FALZONE
Title or Position: OFFICE MANAGER
Credential:
Phone: 419-882-0588