MEDICARE: PLEASANT VALLEY EYECARE

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	152WC0802X	Corneal and Contact Management Optometrist	3529	OH
2	332H00000X	Eyewear Supplier	3529	OH

General Provider Information

NPI Number	:	1447420187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEASANT VALLEY EYECARE

Provider Business Mailing Address
First Line	:	7630 BROADVIEW RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6745
Country	:	US
Telephone Number	:	216-642-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7630 BROADVIEW RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6745
Country	:	US
Telephone Number	:	216-642-5500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GARY CRAPANZANO
Credential	:	O.D.
Telephone Number	:	216-642-5500

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	09/10/2010

Similar Medicare Providers

1013909894 — DR. GARY J CRAPANZANO O.D.
Practice Location Address:

7630 BROADVIEW RD
PARMA, OH
44134-6745

Practice Phone: 216-642-5500
Practice Fax: 216-642-9829

1447197728 — RYAN A FEORA
Practice Location Address:

7480 BROADVIEW RD
PARMA, OH
44134-5718

Practice Phone: 440-481-1290
Practice Fax:

1871596288 — PROGRESSIVE PARMA CARE CENTER LLC
Practice Location Address:

5553 BROADVIEW RD
PARMA, OH
44134-1604

Practice Phone: 216-661-6800
Practice Fax: 216-739-3789

1174520712 — MRS. AMANDA JOY VANDERVORT MPT
Practice Location Address:

5520 BROADVIEW RD FRNT
PARMA, OH
44134-1605

Practice Phone: 216-749-6650
Practice Fax: 216-749-1655

1427041565 — DR. WILLIAM ELLIS DONAHUE JR. DPM
Practice Location Address:

1013 ROCKSIDE RD STE B
PARMA, OH
44134-2700

Practice Phone: 216-459-8616
Practice Fax: 216-459-0373

1548254592 — ADORA HEALTHCARE SERVICES
Practice Location Address:

3327 MARMORE AVE
PARMA, OH
44134-1209

Practice Phone: 216-544-5418
Practice Fax: 216-741-1419

Directions to “PLEASANT VALLEY EYECARE ” Practice Location

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