# CUSSATT OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306210380
- **Authorized official:** JOSEPH CUSSATT (OWNER)
- **Authorized official phone:** (570) 455-1100

## Contact information

- **Practice address:** 601 N BROAD ST, WEST HAZLETON, PA 18202-1551
- **Practice address phone:** (570) 455-1100
- **Practice address fax:** (570) 455-1101
- **Mailing address:** 601 N BROAD ST, WEST HAZLETON, PA 18202-1551
- **Mailing address phone:** (570) 455-1100
- **Mailing address fax:** (570) 455-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2015
- **Last updated:** 11/13/2015