| Organization Name: | EYE OPTICAL, INC |
| NPI Number: | 1083804140 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS SEIDEL (OWNER / OPTICIAN) |
| Mailing Address: | 5249 Broadview Rd Parma |
| State: | OH US |
| Postal Code: | 441341626 |
| Phone Number: | 2163517400 |
| Fax Number: | 2166615454 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 04/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 4353SC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |