Ben Domiano Optical Center Llc is a
Technician/technologist - Optician based in Old Forge, Pennsylvania. Ben Domiano Optical Center Llc is licensed to practice in Pennsylvania (license number 30685) and their current practice location is
817 S Main St, Old Forge, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(570) 457-2020.
NPI number for Ben Domiano Optical Center Llc is 1992090096 and their current mailing address is 817 S Main St, Old Forge, Pennsylvania. Ben Domiano Optical Center Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992090096.
Healthcare Provider's Profile
Full Name | Ben Domiano Optical Center Llc |
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Type | Facility |
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Speciality | Technician/technologist - Optician |
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Location | 817 S Main St, Old Forge, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992090096
- Provider Enumeration Date: 06/16/2011
- Last Update Date: 06/16/2011
Medical Identifiers
Medical identifiers for Ben Domiano Optical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992090096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OEG000082 (Pennsylvania) | Secondary |
156FC0800X | Technician/technologist - Contact Lens | 30685 (Pennsylvania) | Secondary |
156FX1800X | Technician/technologist - Optician | 30685 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ben Domiano Optical Center Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ben Domiano Optical Center Llc 817 S Main St, Old Forge, PA 18518-1431 Ph: (570) 457-2020 | Ben Domiano Optical Center Llc 817 S Main St, Old Forge, PA 18518-1431 Ph: (570) 457-2020 |
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