Randall M .maceyko, Od

NPI #1770684391 in Boardman, Ohio

Provider Information

NPI Number: 1770684391
Entity Type: Organization
Organization Name: Randall M .maceyko, Od
Primary Specialty: Optometrist
Enumeration Date: Sep 26, 2006
Last Updated: Nov 20, 2007

Practice Location

Address: 8004 SOUTH AVE
City: Boardman
State: Ohio
ZIP Code: 44512-6153
Phone: (330) 726-1616

Authorized Official

Name: DR. RANDALL MICHAEL MACEYKO, OD
Title: OWNER
Phone: (330) 726-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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