Organization
WYNWOOD EYE CLINIC, INC
Active
Parent organization
WYNWOOD EYE CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYNWOOD EYE CLINIC, INC
Authorized official
DR. JOHN MAXWELL CIUMMEI (OWNER)
(570) 523-1533
Entity
Organization
Contact information
Practice address
1121 WESTBRANCH HIGHWAY, WINFIELD, AL 17889
(570) 523-1533
Mailing address
1121 WESTBRANCH HWY, WINFIELD, PA 17889-9253
(570) 523-1533
(570) 523-0040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000171
PA
Other
Enumeration date
03/21/2007
Last updated
11/16/2007
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