# JUDITH A WENTZEL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mon Valley Vision Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679661771
- **Authorized official:** MRS. JUDITH A ZEWE OPTICIAN (OPTICIAN OWNER)
- **Authorized official phone:** (724) 258-3773

## Contact information

- **Practice address:** 120 MAIN STREET, NEW EAGLE, PA 15067
- **Practice address phone:** (724) 258-3773
- **Practice address fax:** (724) 258-4805
- **Mailing address:** 120 MAIN STREET PO BOX 430, NEW EAGLE, PA 15067
- **Mailing address phone:** (724) 258-3773
- **Mailing address fax:** (724) 258-4805

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01741893 | — | PA |
| 01 | — | 14872 | SPECTERA | — |
| 01 | — | 49647 | DAVIS VISION | — |