| |
529 Sunflower Dr, Du Bois, PA 15801-2378 | |
(814) 371-2390 | |
(814) 371-9532 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 529 Sunflower Dr, Du Bois, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508017286 | NPI | - | NPPES |
100774088 | Medicaid | PA | |
140462 | Other | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 371-2390 | 529 Sunflower Dr, Du Bois, PA 15801-2378 Ph: (814) 371-2390 |