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Organization
ANTHONY S. DIECIDUE, P.C.
Active
Organization
ANTHONY S. DIECIDUE, P.C.
Active
Other names
Austin Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH GLASNER (OWNER)
(570) 476-1114
Entity
Organization
Contact information
Practice address
1421 MAIN ST, PECKVILLE, PA 18452-2008
(570) 382-3922
Mailing address
1421 MAIN ST, PECKVILLE, PA 18452-2008
(570) 382-3922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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