Maceyko, Robin Marci

Maceyko, Robin Marci is an individual health care provider with primary practice located at 8004 South Ave , Boardman OH 44512-3642. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maceyko, Robin Marci can be contacted via phone (330) 726-1616.

Contact Information

Primary practice address
8004 South Ave Boardman OH 44512-3642
Fax: (330) 726-1682
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3524T944 Ohio

Profile Details

NPI number 1356320477
LBN Legal business name Maceyko, Robin Marci
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 11th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356320477 NPPES
Ohio MEDICAID 0573731

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