Dr. Mary C Lack is a Barberton, Ohio based female Optometrist with 32 years of experience in Optometry. She completed her graduation from Ohio State University - College Of Optometry in 1992. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mary C Lack is 4364 for Optometry in Ohio. Dr. Mary C Lack examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mary C Lack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
32+ years
Medical School Attended:
Ohio State University - College Of Optometry
Graduation Year:
1992
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
31 Conservatory Dr, Barberton, Ohio, 44203-4281
Phone:
330-745-4404
Fax:
330-753-9162
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214967025
Enrollment ID:
I20100408000088
NPI Number:
1801882535
NPI Enumeration Date:
27 Sep, 2005
NPI Last Update On:
08 Apr, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary C Lack are as mentioned below.
License Number
Specialization
State
Status
4364
Optometry
Ohio
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Mary C Lack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Barberton Eye Center,llc (6305876111)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary C Lack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
341904624
Other
Ohio
TRICARE
0266520001
Other
Ohio
ADMINISTAR
54450
Other
Ohio
QUAL CHOICE
000000141886
Other
Ohio
ANTHEM
2200676
Other
Ohio
UNITED HEALTH CARE
410041657
Other
Ohio
RAILROAD MEDICARE
341904624ML
Other
Ohio
SUMMA
0892155
Medicaid
Ohio
5521525
Other
Ohio
AETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
31 Conservatory Dr, Barberton, Ohio
Zip:
44203-4281
Phone Number:
330-745-4404
Fax Number:
330-753-9162
Patients can reach Dr. Mary C Lack at 31 Conservatory Dr, Barberton, Ohio or can call to book an appointment on 330-745-4404. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.