Provider Demographics
NPI:1760533236
Name:LANCY, EDWARD DONALD JR (PHD, OD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:DONALD
Last Name:LANCY
Suffix:JR
Gender:M
Credentials:PHD, OD
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Mailing Address - Street 1:7401 MARKET ST
Mailing Address - Street 2:SEARS OPTICAL
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5639
Mailing Address - Country:US
Mailing Address - Phone:330-758-7315
Mailing Address - Fax:330-758-3994
Practice Address - Street 1:7401 MARKET ST
Practice Address - Street 2:SEARS OPTICAL
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5639
Practice Address - Country:US
Practice Address - Phone:330-758-7315
Practice Address - Fax:330-758-3994
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OH4761-T1565152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist