MEDICARE: PARIS OPTICIANS

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	332H00000X	Eyewear Supplier	4818SC	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	24645	OTHER	OH	KAISER
2	OH5161	OTHER	OH	EYEMED

General Provider Information

NPI Number	:	1770634818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARIS OPTICIANS

Provider Business Mailing Address
First Line	:	8210 MACEDONIA COMMONS BLVD
Second Line	:	SUITE 52
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:	330-468-3313
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 MACEDONIA COMMONS BLVD
Second Line	:	SUITE 52
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:	330-468-3313
Fax Number	:

Authorized Official
Title or Position	:	PROPRIETOR OPTICIAN
Name	:	MR. WALTER B PARIS
Credential	:	L.D.O.
Telephone Number	:	330-468-3313

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	08/22/2020

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Directions to “PARIS OPTICIANS ” Practice Location

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