| |
273 Grandview Ave, Suite 3, Honesdale, PA 18431-1163 | |
(570) 253-8840 | |
(570) 253-8860 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 273 Grandview Ave, Honesdale, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649443623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
273 Grandview Ave, Suite 3, Honesdale, PA 18431-1163 Ph: (570) 253-8840 | 273 Grandview Ave, Suite 3, Honesdale, PA 18431-1163 Ph: (570) 253-8840 |