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Organization
R A OPTICAL
Active
Organization
R A OPTICAL
Active
Other names
dalmo optical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER J CARRABBA MANAGER (MANAGER)
(724) 282-8533
Entity
Organization
Contact information
Practice address
330 N MAIN ST, BUTLER, PA 16001-4954
(724) 282-8533
(724) 282-9735
Mailing address
330 N MAIN ST, BUTLER, PA 16001-4954
(724) 282-8533
(724) 282-9735
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6000001101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105365
DORAL LOCATION NUMBER
PA
01
—
160592
COLE VISION LOCATION #
PA
01
—
1634738
HIGHMARK PROVIDER NUMBER
PA
01
—
PA42663
VBA PROVIDER #
PA
Enumeration date
09/27/2006
Last updated
06/13/2008
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