Provider Demographics
NPI:1639275373
Name:LARRY F BIALES OD & JOSEPH PARISI OD INC
Entity Type:Organization
Organization Name:LARRY F BIALES OD & JOSEPH PARISI OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BIALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-729-9546
Mailing Address - Street 1:12690 OPALOCKA DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026
Mailing Address - Country:US
Mailing Address - Phone:440-729-9546
Mailing Address - Fax:440-729-0938
Practice Address - Street 1:12690 OPALOCKA DRIVE
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026
Practice Address - Country:US
Practice Address - Phone:440-729-9546
Practice Address - Fax:440-729-0938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0290470001Medicare NSC