Fatula Family Eye Care Pllc

NPI 1700297058 - Optometrist - 152W00000X

NPI Details
NPI 1700297058
Enumeration Date 05/08/2014
Last Updated 05/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DANIEL R DANIEL
Position OWNER/PROVIDER
Phone (814) 913-3006
Fax (814) 371-2713
Practice Location
20 INDUSTRIAL DR
DU BOIS PA, 15801-3842, US
Phone (814) 913-3006
Fax (814) 371-2713
Business Location
220 SYLVAN HEIGHTS DR
DU BOIS PA, 15801-5868, US
Phone (814) 913-3006
Fax (814) 371-2713
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG001789
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According to our database, Fatula Family Eye Care Pllc NPI is 1700297058, taxonomy code is 152W00000X and license number is OEG001789, license state is located at Pennsylvania. Fatula Family Eye Care Pllc physically located at 20 Industrial Dr, Du Bois PA, 15801-3842. NPI Number 1033115704 has the healthcare provider type.

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1700297058 NPI number is provided on an as is basis without warranty of any kind. 1700297058 is maintained by the National Plan & Provider Enumeration System. The contents of Fatula Family Eye Care Pllc are for informational purposes only.