Provider Demographics
NPI:1558338905
Name:B&F OPTICAL INC
Entity Type:Organization
Organization Name:B&F OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:ONEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-455-8629
Mailing Address - Street 1:1111 12TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44703-1905
Mailing Address - Country:US
Mailing Address - Phone:330-455-8629
Mailing Address - Fax:330-455-8429
Practice Address - Street 1:1111 12TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-1905
Practice Address - Country:US
Practice Address - Phone:330-455-8629
Practice Address - Fax:330-455-8429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4133/T1077152W00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9375721OtherMEDICARE PTAN
OH0295747Medicaid