Classic Optical Laboratories, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CLASSIC OPTICAL LABORATORIES, INC.

Practice address

3710 Belmont Ave
Youngstown, OH 44505-1406

Phone

(330) 759-8245

Fax

(330) 759-8300

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Rachael Zban

Title

Project Manager

Phone

(330) 759-8245

Specialties & licenses 4

Addresses

Other identifiers 20

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Alice Colburn

  • Optician
  • Youngstown, OH
  • NPI 1972267813
  NPD
• Beth A Tankersley, LDO

  • Optician
  • Youngstown, OH
  • NPI 1811785850
  NPD
• Rodney S Remsey, L.D.O.

  • Optician
  • Youngstown, OH
  • NPI 1619445319
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1962476259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051406",
            "telephone_number": "330-759-8245",
            "fax_number": "330-759-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051406",
            "telephone_number": "330-759-8245",
            "fax_number": "330-759-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC OPTICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "ZBAN",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "330-759-8245"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "514735",
            "state": "AZ"
        },
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            "desc": "MEDICAID",
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            "identifier": "38440000",
            "state": "WI"
        },
        {
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            "identifier": "86934031",
            "state": "NM"
        },
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            "identifier": "300003890260001",
            "state": "KS"
        },
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            "code": "05",
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            "identifier": "3080114",
            "state": "NH"
        },
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            "state": "CO"
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            "state": "ID"
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            "identifier": "10796400",
            "state": "FL"
        },
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            "code": "05",
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            "identifier": "333657300",
            "state": "MD"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "TP025912",
            "state": "AR"
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            "code": "05",
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            "issuer": null,
            "identifier": "300004473",
            "state": "IN"
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            "identifier": "003190959A",
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            "code": "05",
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            "identifier": "129503",
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            "code": "05",
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            "identifier": "METPID002653",
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            "state": "MI"
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    ],
    "endpoints": [],
    "other_names": []
}

• Noah C Clark, CMS, QMHS
• Tyniyah Clark
• Vonetta Marie Clark, B.S.
• Adam J Clarke
• Novella T Clarke, B.A.
• Frances Jewel Clause, BA
• Clautti Chiropractic, Inc.
• Patricia J Clautti, RN
• Argie K Clay
• Chardae D Clay

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.