Organization
OPTICAL NEI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR JORDAN SR. O.D. (MEMBER, BOARD OF DIRECTORS)
(570) 342-3145
Entity
Organization
Contact information
Practice address
RT. 940, POCONO SUMMIT PLAZA, POCONO SUMMIT, PA 18346
(570) 839-7973
(570) 839-7975
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
(570) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6000007290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
773550014
—
PA
Enumeration date
09/06/2013
Last updated
12/27/2017
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