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Organization

CANELLAVISION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES THOMAS CANELLA (OWNER)
(814) 864-1277
Entity
Organization

Contact information

Practice address
2022 W 38TH ST, ERIE, PA 16508-2020
(814) 864-1277
(814) 864-1277
Mailing address
2022 W 38TH ST, ERIE, PA 16508-2020
(814) 864-1277
(814) 864-1277

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000007707
PA
332H00000X
Eyewear Supplier
6000007707
PA

Other

Enumeration date
12/18/2012
Last updated
12/18/2012
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