Provider Demographics
NPI:1518145341
Name:DOCTOR NALINI A. CORPORA, INC.
Entity Type:Organization
Organization Name:DOCTOR NALINI A. CORPORA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NALINI
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORPORA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-256-8205
Mailing Address - Street 1:441 BRENTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1486
Mailing Address - Country:US
Mailing Address - Phone:330-256-8205
Mailing Address - Fax:
Practice Address - Street 1:8934 DARROW RD STE C104
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2129
Practice Address - Country:US
Practice Address - Phone:330-425-9830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5020152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2745560Medicaid
OH2745560Medicaid