MEDICARE: MARILYN ONEY OPTICIAN

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	156FX1800X	Optician	OP.000147-S	OH

General Provider Information

NPI Number	:	1821957994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN ONEY OPTICIAN

Provider Business Mailing Address
First Line	:	1111 12TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44703-1986
Country	:	US
Telephone Number	:	330-455-8629
Fax Number	:	330-455-8429

Provider Business Practice Location Address
First Line	:	1111 12TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44703-1986
Country	:	US
Telephone Number	:	330-455-8629
Fax Number	:	330-455-8429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ MARILYN ONEY OPTICIAN” Practice Location

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