Active NPI
Samuel a. Sebastian & Gene Hrycak Dba Optical Vision of Youngstown
- Optician
- Youngstown, OH
National Provider Identifier
1003942434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- SAMUEL A. SEBASTIAN & GENE HRYCAK DBA OPTICAL VISION OF YOUNGSTOWN
- Practice address
- 2959 Canfield Rd
Suite #1
Youngstown, OH 44511-2800 - Phone
- (330) 792-7045
- Fax
- (330) 792-0038
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel A Sebastian, OPTICIAN
- Title
- Partner
- Phone
- (330) 792-7045
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary | ||
| Eyewear Supplier | 332H00000X | SC 198 | OH |
Addresses
Primary practice location
2959 Canfield Rd
Suite #1
Youngstown, OH 44511-2800
Mailing address
2959 Canfield Rd
Suite #1
Youngstown, OH 44511-2800
Phone (330) 792-7045
Other names 1
- Optical Vision of Youngstown
National Provider Directory
National Provider DirectoryLocations
2959 Canfield Rd
Ste 1
Youngstown, OH 44511
Phone (330) 792-7045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1003942434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 CANFIELD RD",
"address_2": "SUITE #1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445112800",
"telephone_number": "330-792-7045",
"fax_number": "330-792-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 CANFIELD RD",
"address_2": "SUITE #1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445112800",
"telephone_number": "330-792-7045",
"fax_number": "330-792-0038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL A. SEBASTIAN & GENE HRYCAK DBA OPTICAL VISION OF YOUNGSTOWN",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "SEBASTIAN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "330-792-7045",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OH",
"license": "SC 198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optical Vision of Youngstown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.