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NPI Code Detail

MEDICARE: AMERICAN EYECARE INC.

MEDICARE: AMERICAN EYECARE 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
1332BC3200XCustomized Equipment (DME)S3414OH

General Provider Information

NPI Number : 1962565846
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN EYECARE INC.
Provider Business Mailing Address
First Line : 602 SOUTH ST
Second Line : B-14
City : CHARDON
State : OH
Zip : 44024-1499
Country : US
Telephone Number : 440-285-5007
Fax Number : 440-285-4313
Provider Business Practice Location Address
First Line : 602 SOUTH ST
Second Line : B-14
City : CHARDON
State : OH
Zip : 44024-1499
Country : US
Telephone Number : 440-285-5007
Fax Number : 440-285-4313
Authorized Official
Title or Position : PRESIDENT
Name : PAUL W. TEKNIPP
Credential : OPTICIAN
Telephone Number : 440-285-5007
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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Directions to “AMERICAN EYECARE INC. ” Practice Location

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