Provider Demographics
NPI:1558459420
Name:CIRINO EYE CENTER, INC.
Entity Type:Organization
Organization Name:CIRINO EYE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CIRINO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-273-5588
Mailing Address - Street 1:3898 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-6603
Mailing Address - Country:US
Mailing Address - Phone:330-273-5588
Mailing Address - Fax:330-273-5534
Practice Address - Street 1:3898 CENTER RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-6603
Practice Address - Country:US
Practice Address - Phone:330-273-5588
Practice Address - Fax:330-273-5534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007185207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDG6908OtherMEDICARE RETIRED RAILROAD