MEDICARE: SYSTEM OPTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194840553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYSTEM OPTICS LLC

Provider Business Mailing Address
First Line	:	518 WEST AVE
Second Line	:
City	:	TALLMADGE
State	:	OH
Zip	:	44278-2117
Country	:	US
Telephone Number	:	330-630-9699
Fax Number	:	330-633-7165

Provider Business Practice Location Address
First Line	:	3510 MANCHESTER RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44319-1415
Country	:	US
Telephone Number	:	330-630-9699
Fax Number	:	330-644-0187

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TODD BEYER
Credential	:
Telephone Number	:	330-630-9699

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	06/18/2021

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Directions to “SYSTEM OPTICS LLC ” Practice Location

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