Healthcare Provider Details

I. General information

NPI: 1548327927
Provider Name (Legal Business Name): BEN FRANKLINS VISION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8216 E MARKET ST
WARREN OH
44484-2337
US

IV. Provider business mailing address

8216 E MARKET ST
WARREN OH
44484-2337
US

V. Phone/Fax

Practice location:
  • Phone: 330-856-4089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number217SC
License Number StateOH

VIII. Authorized Official

Name: CHARLES RUTAN
Title or Position: OPTICIAN PRESIDENT
Credential:
Phone: 330-856-4089