MARK EISENBREI (NPI# 1598165672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598165672 |
| Entity Type | Individual |
| Full Name | MARK EISENBREI |
| Practice Address |
1130 30th St Nw Canton OH 44709-2921 |
| Practice Telephone | 3304920038 |
| Practice Fax Number | 3304922914 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
SC 2290 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2621434 | 05 |
| Street Address |
1130 30TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44709-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467781682 | Plaza Optical | Eyewear Supplier (Equipment, not the service) | 1130 30th St Nw, Canton, OH 44709-2921 | 2009-12-17 |
| 1992125314 | Eisenbrei Plaza Optical | Durable Medical Equipment & Medical Supplies | 1130 30th St Nw, Canton, OH 44709-2921 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1811173255 | Us Vision Optical Inc | Technician/Technologist | 43690 Ford Rd, Canton, MI 48187-3101 | 2008-01-16 |
| 1104025485 | Bond Eye Associates, S.c. | Technician/Technologist | 180 S Main St Ste 2g, Canton, IL 61520-2608 | 2007-07-16 |
| 1205912789 | Wal-mart Stores Texas, Lp | Technician/Technologist | 603 E Highway 243, Canton, TX 75103-2420 | 2006-10-27 |
| 1669878146 | National Vision, Inc. | Technician/Technologist | 47176 Michigan Ave, Canton, MI 48188-2583 | 2014-11-12 |
| 1770913683 | Wal-mart Stores East, Lp | Technician/Technologist | 244 Feather Ln, Canton, MS 39046-9793 | 2013-11-14 |
| 1861820995 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4820 Everhard Rd Nw, Canton, OH 44718-2413 | 2013-10-29 |
| 1407164023 | Wal-mart Stores East Lp | Technician/Technologist | 4555 Michigan Ave, Canton, MI 48188 | 2010-09-16 |
| 1629307830 | Joseph Optical | Technician/Technologist | 1455 Riverstone Pkwy, Suite 110, Canton, GA 30114-5627 | 2009-12-17 |
| 1508925355 | B & A Associates | Technician/Technologist | 95 Washington St, Village Shoppes, Canton, MA 02021-4006 | 2006-12-07 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.