| Organization Name: | SAMUEL A. SEBASTIAN & GENE HRYCAK DBA OPTICAL VISION OF YOUNGSTOWN |
| NPI Number: | 1003942434 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL A SEBASTIAN (PARTNER) |
| Mailing Address: | 2959 Canfield Rd Suite #1 Youngstown |
| State: | OH US |
| Postal Code: | 445112800 |
| Phone Number: | 3307927045 |
| Fax Number: | 3307920038 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | SC 198 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |