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Organization
CUSSATT EYEWEAR
Active
Organization
CUSSATT EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CUSSATT (OWNER)
(570) 455-1100
Entity
Organization
Contact information
Practice address
601 N BROAD ST, WEST HAZLETON, PA 18202-1551
(570) 455-1100
(570) 455-1101
Mailing address
601 N BROAD ST, WEST HAZLETON, PA 18202-1551
(570) 455-1100
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
NULL
156F00000X
Technician/Technologist
—
—
156FX1800X
Optician
Primary
21950
PA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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