Provider Demographics
NPI:1063138501
Name:NORTHERN OHIO EYE CONSULTANTS INC
Entity type:Organization
Organization Name:NORTHERN OHIO EYE CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LOU
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GLASNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-656-5050
Mailing Address - Street 1:6880 W SNOWVILLE RD STE 215
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3254
Mailing Address - Country:US
Mailing Address - Phone:440-656-5050
Mailing Address - Fax:
Practice Address - Street 1:130 W STREETSBORO ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236
Practice Address - Country:US
Practice Address - Phone:330-653-8500
Practice Address - Fax:330-650-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty