Maceyko, Brandon Randall

Maceyko, Brandon Randall is an individual health care provider with primary practice located at 8004 South Ave , Boardman OH 44512-6153. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maceyko, Brandon Randall can be contacted via phone (330) 726-1616.

Contact Information

Primary practice address
8004 South Ave Boardman OH 44512-6153
Fax: (330) 726-1682
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT.006756 Ohio

Profile Details

NPI number 1649837964
LBN Legal business name Maceyko, Brandon Randall
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2019
Last updated May 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers