| Janidlo Optometry Pc | |
|
120 W Penn St Bedford PA 15522-1223 | |
| (814) 623-5018 | |
| (814) 623-7718 |
| Full Name | Janidlo Optometry Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 W Penn St, Bedford, Pennsylvania |
| Authorized Official Name and Position | Heather Kerr Janidlo (OWNER/OPTOMETRIST) |
| Authorized Official Contact | 8144232030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janidlo Optometry Pc 120 W Penn St Bedford PA 15522-1223 Ph: (814) 623-5018 | Janidlo Optometry Pc 120 W Penn St Bedford PA 15522-1223 Ph: (814) 623-5018 |
| NPI Number | 1255841565 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 09/21/2018 |
| Medicare PECOS PAC ID | 6507123759 |
|---|---|
| Medicare Enrollment ID | O20171127001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255841565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Heather K Janidlo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336232628 PECOS PAC ID: 2062452089 Enrollment ID: I20050510000339 |
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