is a Ophthalmology in Du Bois, Pennsylvania. practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for is 1972614014. The last update date is .
's current location address is 529 Sunflower Dr, Du Bois, Pennsylvania. You can contact this provider via phone number 8143712390 and fax number 8143719532. The mailing address for is 529 Sunflower Dr, Du Bois, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 529 Sunflower Dr, Du Bois, Pennsylvania |
| Phone Number | 8143712390 |
| Fax Number | 8143719532 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972614014 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 529 Sunflower Dr |
|---|---|
| City | Du Bois |
| State | Pennsylvania (PA) |
| Post Code | 158012378 |
| Phone Number | 8143712390 |
| Fax Number | 8143719532 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD028273E |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 342682 | PA | HIGHMARK | |
| DH1374 | PA | RAILROAD MEDICARE | |
| 1310535 | PA | UMWA | |
| 9047150001 | PA | -- |
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