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Organization
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Active
Organization
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C SCOTT (OWNER)
(410) 571-7998
Entity
Organization
Contact information
Practice address
200 LAUREL MALL, HAZLE TOWNSHIP, PA 18202-1200
(571) 455-5498
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(410) 571-8733
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
06/29/2021
Last updated
03/07/2025
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