Provider Demographics
NPI:1891306890
Name:OIC INTEGRATIVE OPTOMETRY LLC
Entity Type:Organization
Organization Name:OIC INTEGRATIVE OPTOMETRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:COZZI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:314-477-7278
Mailing Address - Street 1:512 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-2530
Mailing Address - Country:US
Mailing Address - Phone:330-784-1155
Mailing Address - Fax:
Practice Address - Street 1:512 CANTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-2530
Practice Address - Country:US
Practice Address - Phone:330-784-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty