Union Vision Center of Stow, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

77149067 Issued in OH

Legal business name

UNION VISION CENTER OF STOW, INC.

Practice address

3330 Kent Rd
Stow, OH 44224-4537

Phone

(330) 688-8244

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jay F Minkin

Title

President

Phone

(330) 688-8244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CO-OP Optical Eye Care Center Doing business as

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1710030242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 KENT RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244536",
            "telephone_number": "330-688-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 KENT RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244537",
            "telephone_number": "330-688-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION VISION CENTER OF STOW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MINKIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-688-8244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "77149067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CO-OP Optical Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Alfonso Trainer
• Jenny Tran, OD
• Chantal Marie Twizere
• Gabrielle Uhrin
• Craig Steven Ulatoski
• Kristen Marie Urdiales
• Natalie Ann Urich
• April Lyn Valenti
• Samantha Lynn Valentine, OTR/L
• Corey Isidro Vandersall

• Eyewear Supplier in Stow, OH
• Providers in Stow, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.