Organization Active NPI

Samuel a. Sebastian & Gene Hrycak Dba Optical Vision of Youngstown

  • Optician
  • Youngstown, OH
National Provider Identifier
1003942434
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.