| |
802a Warrendale Village Drive, 2nd Floor, Warrendale, PA 15086 | |
(724) 772-2222 | |
(314) 741-4947 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 802a Warrendale Village Drive, Warrendale, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225371255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | 802a Warrendale Village Drive, 2nd Floor, Warrendale, PA 15086 Ph: (724) 772-2222 |