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Organization
CHERRY TREE OPTICAL INC
Active
Organization
CHERRY TREE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P GALLO M.D. (PRESIDENT)
(724) 430-2020
Entity
Organization
Contact information
Practice address
649 CHERRY TREE LN, UNIONTOWN, PA 15401-8947
(724) 430-3937
(724) 439-6446
Mailing address
649 CHERRY TREE LN, UNIONTOWN, PA 15401-8947
(724) 430-3937
(724) 439-6446
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015929
DORAL VISION
PA
01
—
201379
BLUE SHIELD
PA
01
—
223723
COLE VISION
PA
Enumeration date
03/06/2007
Last updated
05/15/2008
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