Provider Demographics
NPI:1902308661
Name:THOMAS H. HANDEL OD, INC.
Entity Type:Organization
Organization Name:THOMAS H. HANDEL OD, INC.
Other - Org Name:HANDEL VISION CLINIC OF NEWTON FALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-899-0202
Mailing Address - Street 1:115 W BROAD ST STE A
Mailing Address - Street 2:
Mailing Address - City:NEWTON FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44444-1572
Mailing Address - Country:US
Mailing Address - Phone:330-872-1371
Mailing Address - Fax:
Practice Address - Street 1:115 W BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:NEWTON FALLS
Practice Address - State:OH
Practice Address - Zip Code:44444-1572
Practice Address - Country:US
Practice Address - Phone:330-872-1371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THOMAS H. HANDEL OD, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3945152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty