SUBURBAN VISION CARE INC. NPI 1700078714

NPI Information

NPI: 1700078714
Provider Name: SUBURBAN VISION CARE, INC.

Doing Business As: SUBURBAN VISION CARE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
6828 MARKET ST
BOARDMAN, OH
ZIP 44512
Phone: (330) 629-9870
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SUBURBAN VISION CARE, INC. is an eyewear supplier in Boardman, OH. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SUBURBAN VISION CARE, INC. NPI is 1700078714. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suburban Vision Care.

The provider's business location address is:

6828 MARKET ST
BOARDMAN, OH
ZIP 44512-503
Phone: (330) 629-9870
Fax: (330) 629-9791

The provider's authorized official is Christopher W. Shoemaker .
The authorized official title is President and has the following contact phone number (330) 629-9870.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 7/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		3497 / T1403	OHIO	No
2	332H00000X	Eyewear Supplier		152W00000X	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2280106	MEDICAID	OHIO
2	1064550001	MEDICARE NSC	OHIO
3	9281221	MEDICARE PIN	OHIO
4	410033860	MEDICARE PIN	OHIO
5	T47206	MEDICARE UPIN	OHIO
6	302544644012	OTHER	OHIO	MEDICAL MUTUAL
7	000000139002	OTHER	OHIO	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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