MEDICARE: NORTHERN OHIO EYE CENTER, 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	207W00000X	Ophthalmology Physician	35063646	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180037555	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0801268	OTHER	OH	UNITED HEALTH CARE
3	284501448006	OTHER	OH	MEDICAL MUTUAL OF OHIO
4	000000141636	OTHER	OH	ANTHEM BLUE CROSS/BLUE SH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508964370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN OHIO EYE CENTER, INC.

Provider Business Mailing Address
First Line	:	6355 PEARL RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3000
Country	:	US
Telephone Number	:	440-886-2020
Fax Number	:	440-886-2779

Provider Business Practice Location Address
First Line	:	6355 PEARL RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3000
Country	:	US
Telephone Number	:	440-886-2020
Fax Number	:	440-886-2779

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STANLEY FRANCIS PAJKA
Credential	:	M.D.
Telephone Number	:	440-886-2020

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/29/2024

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