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Organization
BEN DOMIANO OPTICAL INCORPORATED
Active
Organization
BEN DOMIANO OPTICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN G DOMIANO ABOC OPTICIAN (PRESIDENT)
(570) 457-2020
Entity
Organization
Contact information
Practice address
817 S MAIN ST, OLD FORGE, PA 18518-1431
(570) 457-2020
(570) 457-2787
Mailing address
817 S MAIN ST, OLD FORGE, PA 18518-1431
(570) 457-2020
(570) 457-2787
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15932
SPECTARA
MD
01
—
393342
NVA
NJ
01
—
48926
GEISINGER
PA
01
—
9911
DAVIS VISION
NY
01
—
BE282600
CLARITY VISION
PA
01
—
DO0001565000
HIGHMARK
PA
01
—
PA0685
EYEMED/COLE VISION
OH
01
—
PA817
VISION BENEFITS OF AMERIC
PA
Enumeration date
05/26/2006
Last updated
08/17/2018
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