Organization
SOUTHERN TIER OPTOMETRIC CENTER INC
Active
Other names
Council Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAM L ROSENSWIE (CORPORATE BUSINESS MANAGER)
(716) 372-9464
Entity
Organization
Contact information
Practice address
147 W 18TH ST, ERIE, PA 16501-2103
(814) 454-7138
Mailing address
147 W 18TH ST, ERIE, PA 16501-2103
(814) 454-7138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003896440
NPI
PA
Enumeration date
01/20/2006
Last updated
10/19/2010
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