Organization
FAMILY FIRST VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TICKNER JR. O.D. (OWNER)
(570) 698-4140
Entity
Organization
Contact information
Practice address
1315A LAKE ARIEL HWY, LAKE ARIEL, PA 18436-9438
(570) 698-4140
(570) 698-4145
Mailing address
PO BOX 391, LAKE ARIEL, PA 18436-0391
(570) 698-4140
(570) 698-4145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001159
PA
Other
Enumeration date
11/23/2009
Last updated
11/30/2016
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