| |
122 N Franklin St, Titusville, PA 16354-1761 | |
(814) 827-7931 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 122 N Franklin St, Titusville, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053529008 | NPI | - | NPPES |
410042928 | Other | PA | PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | OEG000659 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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Po Box 285, Titusville, PA 16354-0285 Ph: (814) 827-7931 | 122 N Franklin St, Titusville, PA 16354-1761 Ph: (814) 827-7931 |
Scott A Kennedy, OD Optometrist Medicare: Medicare Enrolled Practice Location: 122 N Franklin St, Titusville, PA 16354 Phone: 814-827-7931 Fax: 814-827-0746 |