Organization Active NPI

Plaza Optical

Doing business as Eisenbrei's Plaza Optical

  • Eyewear Supplier
  • Canton, OH
National Provider Identifier
1467781682
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PLAZA OPTICAL
Doing business as
Eisenbrei's Plaza Optical
Practice address
1130 30TH St NW
Canton, OH 44709-2921
Phone
(330) 492-0038
Fax
(330) 492-2914
NPI assigned
Dec 17, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Betty Jean Eisenbrei
Title
Owner
Phone
(330) 492-0038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1130 30TH St NW
Canton, OH 44709-2921

Mailing address

1130 30TH St NW
Canton, OH 44709-2921
Phone (330) 492-0038

Other names 1

  • EISENBREI'S PLAZA OPTICAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1467781682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 30TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092921",
            "telephone_number": "330-492-0038",
            "fax_number": "330-492-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 30TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092921",
            "telephone_number": "330-492-0038",
            "fax_number": "330-492-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "EISENBREI",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-492-0038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EISENBREI'S PLAZA OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.