person
Mark Eisenbrei
Optician in Canton, Ohio
NPI 1598165672

Mark Eisenbrei is a Optician based in Canton, OH and is specialized in Optician. Mark Eisenbrei practices in Canton, OH. The NPI Number for Mark Eisenbrei is 1598165672 and holds a License No. SC 2290 (Ohio).

The current practice location address for Mark Eisenbrei is 1130 30Th St Nw, Canton, OH and can be reached out via phone at 330-492-0038 and via fax at 330-492-2914. You can also correspond with Mark Eisenbrei through the mailing address at 1130 30TH ST NW, CANTON, OH - 44709-2921 (mailing address contact number: ).

Location: 1130 30Th St Nw, Canton, OH, 44709-2921
person
Provider Profile Details
NPI Number
1598165672
Provider Name
Mark Eisenbrei
Credential
Provider Entity Type
Individual
Gender
Male
Address
1130 30Th St Nw, Canton, OH, 44709-2921
Phone Number
330-492-0038
Fax Number
330-492-2914
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2621434 05 OH
institution
Provider Business Practice Location Address Details
Address
1130 30Th St Nw
City
State
Zip
44709-2921
Phone Number
330-492-0038
Fax Number
330-492-2914
person
Provider Business Mailing Address Details
Address
1130 30Th St Nw
City
State
Zip
44709-2921
Phone Number
330-492-0038
Fax Number
330-492-2914
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
SC 2290 (Ohio)
Definition
Definition to come...
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