MEDICARE: UNION EYES OPTICAL INC

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	6472	OH
2	152W00000X	Optometrist	3166	OH
3	156FX1800X	Optician	S5193	OH
4	152W00000X	Optometrist	4851	OH
5	152W00000X	Optometrist	3433	OH
6	152W00000X	Optometrist	3257	OH

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366822363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION EYES OPTICAL INC

Provider Business Mailing Address
First Line	:	229 CHURCHILL HUBBARD RD STE B
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1324
Country	:	US
Telephone Number	:	330-759-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 CHURCHILL HUBBARD RD STE B
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1324
Country	:	US
Telephone Number	:	330-759-7846
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATTI REMSEY
Credential	:
Telephone Number	:	330-759-7846

Provider Enumeration Date	:	06/04/2015
Last Update Date	:	11/15/2024

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Directions to “UNION EYES OPTICAL INC ” Practice Location

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