Healthcare Provider Details

I. General information

NPI: 1710063540
Provider Name (Legal Business Name): EYE CARE ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 CANFIELD RD
YOUNGSTOWN OH
44511-2880
US

IV. Provider business mailing address

10 DUTTON DR
YOUNGSTOWN OH
44502-1818
US

V. Phone/Fax

Practice location:
  • Phone: 330-746-7691
  • Fax: 330-743-8368
Mailing address:
  • Phone: 330-746-7691
  • Fax: 330-743-8368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN P AEY
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 330-746-7691