CLASSIC OPTICAL LABORATORIES INC. NPI 1962476259

NPI Information

NPI: 1962476259
Provider Name: CLASSIC OPTICAL LABORATORIES, INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3710 BELMONT AVE
YOUNGSTOWN, OH
ZIP 44505
Phone: (330) 759-8245
Get Directions

CLASSIC OPTICAL LABORATORIES, INC. is an eyewear supplier in Youngstown, OH. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CLASSIC OPTICAL LABORATORIES, INC. NPI is 1962476259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3710 BELMONT AVE
YOUNGSTOWN, OH
ZIP 44505-406
Phone: (330) 759-8245
Fax: (330) 759-8300

The provider's authorized official is Rachael Zban .
The authorized official title is Project Manager and has the following contact phone number (330) 759-8245.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	156FX1700X	Technician/Technologist	Ocularist	No
2	156FX1800X	Technician/Technologist	Optician	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	332H00000X	Eyewear Supplier		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00AQ	MEDICAID	MICHIGAN
2	10796400	MEDICAID	FLORIDA
3	38440000	MEDICAID	WISCONSIN
4	514735	MEDICAID	ARIZONA
5	METPID002653	MEDICAID	MAINE
6	300003890260001	MEDICAID	KANSAS
7	3080114	MEDICAID	NEW HAMPSHIRE
8	90000144065	MEDICAID	COLORADO
9	0001278	MEDICAID	OHIO
10	10026655800	MEDICAID	NEBRASKA
11	0086601800	MEDICAID	ALABAMA
12	IDTPID008181	MEDICAID	IDAHO
13	300004473	MEDICAID	INDIANA
14	333657300	MEDICAID	MARYLAND
15	86934031	MEDICAID	NEW MEXICO
16	003190959A	MEDICAID	GEORGIA
17	1020469	MEDICAID	VERMONT
18	129503	MEDICAID	ALABAMA
19	2559401	MEDICAID	LOUISIANA
20	TP025912	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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