Eisenbrei Plaza Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SC2290 Issued in OH

Legal business name

EISENBREI PLAZA OPTICAL

Practice address

1130 30TH St NW
Canton, OH 44709-2921

Phone

(330) 492-0038

Fax

(330) 492-0038

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Mark Alan Eisenbrei, OPTICIANNPI 1598165672

Title

Owner

Phone

(330) 492-0038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Eisenbrei

  • Optician
  • Canton, OH
  • NPI 1598165672
  NPD (past) Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1992125314",
    "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": "330-492-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENBREI PLAZA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "EISENBREI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-492-0038",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "SC2290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E Egli, MA, NCC, PCC
• Jessica A Eicher, MA, LPC
• Vonda Kay Eick, LPN
• Jennifer Oseyi Eigbire, M.D.
• Aleena Christine Eigel, PA-C
• Mark Eisenbrei
• Tammy Lynn Eisentrout, D.O.
• Betsy D Ekey, PA-C
• Ahmed A El Ghamry Sabe, MD
• Bahaeddin A. El Khatib, M.D.

• Durable Medical Equipment & Medical Supplies in Canton, OH
• Providers in Canton, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.