Mark Eisenbrei

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SC 2290 Issued in OH

Practice address

1130 30TH St NW
Canton, OH 44709-2921

Phone

(330) 492-0038

Fax

(330) 492-2914

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eisenbrei Plaza Optical

  • Durable Medical Equipment & Medical Supplies
  • Canton, OH
  • NPI 1992125314
  NPD (past) Authorized official
• Plaza Optical

  dba Eisenbrei's Plaza Optical

  • Eyewear Supplier
  • Canton, OH
  • NPI 1467781682
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1598165672",
    "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"
        },
        {
            "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": {
        "last_name": "EISENBREI",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "SC 2290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2621434",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica A Eicher, MA, LPC
• Vonda Kay Eick, LPN
• Jennifer Oseyi Eigbire, M.D.
• Aleena Christine Eigel, PA-C
• Eisenbrei Plaza Optical
• Tammy Lynn Eisentrout, D.O.
• Betsy D Ekey, PA-C
• Ahmed A El Ghamry Sabe, MD
• Bahaeddin A. El Khatib, M.D.
• Gabriel Y El-Hage Boutrous, PHD

• Optician in Canton, OH
• Providers in Canton, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.