| State College Eye Care Pc | |
|
611 University Dr, Ste 111, State College, PA 16801-6552 | |
| (814) 234-6060 | |
| (814) 234-0797 |
| Full Name | State College Eye Care Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 611 University Dr, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427300250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG001959 (Pennsylvania) | Primary |
| Provider Name | Jessica L Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689860983 PECOS PAC ID: 7810072600 Enrollment ID: I20080304000291 |
| Mailing Address | Practice Location Address |
|---|---|
| State College Eye Care Pc 611 University Dr, Ste 111, State College, PA 16801-6552 Ph: (814) 234-6060 | State College Eye Care Pc 611 University Dr, Ste 111, State College, PA 16801-6552 Ph: (814) 234-6060 |
Michael J Talone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, Suite 100, State College, PA 16801 Phone: 814-234-2015 Fax: 814-234-2015 | |
Brian Matthew Randecker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2901 E College Ave, State College, PA 16801 Phone: 814-347-9604 | |
Dr. Marshall L. Goldstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 E Beaver Ave, State College, PA 16801 Phone: 814-238-2862 Fax: 814-234-2201 | |
Michael J Cymbor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, Ste 100, State College, PA 16801 Phone: 814-234-2015 Fax: 814-238-5300 | |
Spectacles F.y.eye Optometrist Medicare: Medicare Enrolled Practice Location: 138 W College Ave, State College, PA 16801 Phone: 814-234-7788 Fax: 814-234-1105 | |
Dr. Dustin Edward Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, State College, PA 16801 Phone: 814-234-2015 Fax: 814-238-5300 | |
Dr. Andrea Nicole Russell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, Suite 100, State College, PA 16801 Phone: 814-234-2015 Fax: 814-238-5300 |