# ANGELINA THERESA BUCCI EYE SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760564223
- **Authorized official:** DR. FRANK A BUCCI JR. M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (570) 825-5949

## Contact information

- **Practice address:** 158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
- **Practice address phone:** (570) 825-5949
- **Practice address fax:** (570) 825-2645
- **Mailing address:** 158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
- **Mailing address phone:** (570) 825-5949
- **Mailing address fax:** (570) 825-2645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | PA | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020
