Provider Demographics
NPI:1851331102
Name:DR L STEIN & ASSOC INC
Entity Type:Organization
Organization Name:DR L STEIN & ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MANELLO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-821-2020
Mailing Address - Street 1:1650 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4349
Mailing Address - Country:US
Mailing Address - Phone:330-821-2020
Mailing Address - Fax:330-823-2224
Practice Address - Street 1:1650 S UNION AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4349
Practice Address - Country:US
Practice Address - Phone:330-821-2020
Practice Address - Fax:330-823-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3036/T946152W00000X
OH3306/T610152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH8408440Medicaid
OH8408440Medicaid
OH0296550001Medicare NSC