Provider Demographics
NPI:1184769598
Name:ACCENT ON EYES INC
Entity type:Organization
Organization Name:ACCENT ON EYES 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:330-493-3013
Mailing Address - Street 1:3730 WHIPPLE AVE NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-4803
Mailing Address - Country:US
Mailing Address - Phone:330-493-3013
Mailing Address - Fax:330-493-3110
Practice Address - Street 1:3730 WHIPPLE AVE NW
Practice Address - Street 2:SUITE 100
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-4803
Practice Address - Country:US
Practice Address - Phone:330-493-3013
Practice Address - Fax:330-493-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3036 T946152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2074688Medicaid
0172240001Medicare NSC
9281431Medicare PIN