MR. JEFFREY A BRALICH (NPI# 1669534095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669534095 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY A BRALICH |
| Credential | LDO |
| Practice Address |
116 Federal Plz W Youngstown OH 44503-1302 |
| Mailing Address |
2024 Parkdale Ave Hermitage PA 16148-2228 |
| Practice Telephone | 3307435714 |
| Mailing Telephone | 7243425850 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
SC6087 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0906336 | 05 |
| Street Address |
116 FEDERAL PLZ W |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44503-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205625 | Anna Marie Barksdale | Social Worker | 25 W. Rayen Ave, Youngstown, OH 44503 | 2017-06-13 |
| 1851843064 | Janine Whitney Turocy | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503 | 2016-11-04 |
| 1508396888 | Roni Renee Robinson | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-06-19 |
| 1548786239 | Joy L Smith | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-08-15 |
| 1265874267 | Gerald Wasko Jr. | Family Medicine | 330 Wick Ave, Youngstown, OH 44503-1002 | 2013-07-19 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1457556615 | Youngstown City Schools | Local Education Agency (LEA) | 20 W Wood St, Youngstown, OH 44503-1028 | 2007-06-18 |
| 1669928479 | James Earl Douglass IIi | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-31 |
| 1821544917 | Mary Crock | Audiologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-29 |
| 1982159992 | Kirsten Cook | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-19 |
| Find all providers in zip 44503 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851827596 | Linda Fitzgerald | Technician/Technologist | 777 Presidential Dr, Youngstown, OH 44512-5714 | 2017-05-01 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1619445319 | Rodney S Remsey | Technician/Technologist | 3710 Belmont Ave, Youngstown, OH 44505-1406 | 2018-11-12 |
| 1477667400 | Wal-mart Stores East, Lp | Technician/Technologist | 1300 Doral Dr, Youngstown, OH 44514-1900 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133466 | Robert James Hessler | Technician/Technologist | 21 S Ridge Dr, Amelia, OH 45102-2358 | 2020-08-03 |
| 1265068605 | Cathy Sue Bigley | Technician/Technologist | 41 Pineview Dr, Oregon, OH 43616-2636 | 2020-03-17 |
| 1003377045 | Erikka Hermiller | Technician/Technologist | 517 Monroe Ave, Findlay, OH 45840-3739 | 2019-03-30 |
| 1215496989 | National Vision Inc | Technician/Technologist | 2227 State Route 256 Unit A, Reynoldsburg, OH 43068-9326 | 2019-03-13 |
| 1033675988 | Racquel Montijo Montijo | Technician/Technologist | 7410 Jameson Rd, Parma, OH 44129-2816 | 2019-02-15 |
| 1053885244 | National Vision Inc | Technician/Technologist | 4172 Buckeye Pkwy, Grove City, OH 43123-8175 | 2019-01-22 |
| 1093233306 | Robin P Wiley | Technician/Technologist | 3643 Countryside Ln, Avon, OH 44011-2623 | 2017-09-07 |
| 1477091296 | Rachelle Nieves | Technician/Technologist | 30426 Euclid Ave, Wickliffe, OH 44092-1578 | 2017-02-01 |
| 1992255038 | John E Stuckey | Technician/Technologist | 104 S Miami St, West Milton, OH 45383-1551 | 2016-10-13 |
| 1952754426 | Nakita Aquino | Technician/Technologist | 4314 Hyde Park, Unit 7, North Olmsted, OH 44070-5209 | 2016-07-19 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44503 |
Please comment or provide details below to improve the information on MR. JEFFREY A BRALICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.