Provider Demographics
NPI:1316268246
Name:THE EYE PLACE, INC.
Entity type:Organization
Organization Name:THE EYE PLACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEDLACEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-238-9020
Mailing Address - Street 1:8099 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-2021
Mailing Address - Country:US
Mailing Address - Phone:440-235-8099
Mailing Address - Fax:440-235-0222
Practice Address - Street 1:8099 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-2021
Practice Address - Country:US
Practice Address - Phone:440-235-8099
Practice Address - Fax:440-235-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4990 T1860152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty