Provider Demographics
NPI:1770634818
Name:PARIS OPTICIANS
Entity Type:Organization
Organization Name:PARIS OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:B
Authorized Official - Last Name:PARIS
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:330-468-3313
Mailing Address - Street 1:8210 MACEDONIA COMMONS BLVD
Mailing Address - Street 2:SUITE 52
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1860
Mailing Address - Country:US
Mailing Address - Phone:330-468-3313
Mailing Address - Fax:
Practice Address - Street 1:8210 MACEDONIA COMMONS BLVD
Practice Address - Street 2:SUITE 52
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1860
Practice Address - Country:US
Practice Address - Phone:330-468-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4818SC332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH24645OtherKAISER
OHOH5161OtherEYEMED
OH24645OtherKAISER