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Export Provider Record NPI 1336153196
Fair Vision Inc
Organization Subpart: NO
Active
NPI Number1336153196
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1336153196
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-28
Last Updated2023-01-26
Authorized OfficialKelsea Naylor
President
Phone: 3307710148
Mailing Address113 N Lisbon St
Carrollton, OH 44615-1327
United States
Phone: (330) 627-2430 | Fax: (330) 627-5681
📍 View Map
Primary Practice Address113 N Lisbon St
Carrollton, OH 44615-1327
United States
Phone: (330) 627-2430
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH0076271-
MEDICAIDOH0171174-
MEDICAIDOH0561299-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – OptometristOH3728
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About NPI 1336153196

Fair Vision Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1336153196. The primary specialty listed is Optometrist. The organization is located in Carrollton, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336153196?

NPI 1336153196 belongs to Fair Vision Inc, a Optometrist in Carrollton, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336153196 active?

The current status of NPI 1336153196 in the NPPES registry is Active. The record was last updated on 2023-01-26.

What specialty is NPI 1336153196?

NPI 1336153196 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336153196?

You can verify NPI 1336153196 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336153196?

The primary practice address on file for NPI 1336153196 is 113 N Lisbon St, Carrollton, OH 44615-1327. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336153196 issued?

NPI 1336153196 was first issued (enumerated) on 2006-07-28. The NPPES record was last updated on 2023-01-26.

Practice Location Map

Fair Vision Inc is located at 113 N Lisbon St, Carrollton, OH. Use the map below to find directions or verify the practice location.

📍 113 N Lisbon St, Carrollton, OH 44615-1327  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Fair Vision Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336153196. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Optometrist3728OH
Data Verified from CMS NPPES Last synced: 2026-08-11 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162