Provider Demographics
NPI:1386188258
Name:PYCRAFT FAMILY EYE CARE LTD
Entity Type:Organization
Organization Name:PYCRAFT FAMILY EYE CARE LTD
Other - Org Name:SCOTT D PYCRAFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PYCRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-465-4662
Mailing Address - Street 1:966 BUCHOLZ DR
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2618
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:470 E MILLTOWN RD APT B
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1250
Practice Address - Country:US
Practice Address - Phone:330-601-0393
Practice Address - Fax:330-601-0394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6096152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty