Provider Demographics
NPI:1285314104
Name:MMCMURRAY, O.D., LLC
Entity type:Organization
Organization Name:MMCMURRAY, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-509-1128
Mailing Address - Street 1:8165 SAINT ROSARIO PL
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8057
Mailing Address - Country:US
Mailing Address - Phone:330-509-1128
Mailing Address - Fax:
Practice Address - Street 1:200 GOLDIE RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1948
Practice Address - Country:US
Practice Address - Phone:330-759-2545
Practice Address - Fax:330-759-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty