Provider Demographics
NPI:1134776057
Name:PYCRAFT FAMILY EYE CARE LTD
Entity type:Organization
Organization Name:PYCRAFT FAMILY EYE CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PYCRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-682-1276
Mailing Address - Street 1:1720 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-9418
Mailing Address - Country:US
Mailing Address - Phone:330-682-1276
Mailing Address - Fax:
Practice Address - Street 1:1720 PARADISE RD
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-9418
Practice Address - Country:US
Practice Address - Phone:330-682-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PYCRAFT FAMILY EYE CARE LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-26
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty