Organization
LAUREL EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS D NICHAMIN M.D. (MANAGING PARTNER)
(814) 849-8344
Entity
Organization
Contact information
Practice address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Mailing address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007384840028
—
PA
Enumeration date
04/06/2006
Last updated
06/02/2009
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