Organization
IVES EYECARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FRED IVES OD (PRESIDENT)
(724) 872-5621
Entity
Organization
Contact information
Practice address
145 N WATER STREET, WEST NEWTON, PA 15089
(724) 872-5621
(724) 872-6660
Mailing address
145 N WATER STREET, WEST NEWTON, PA 15089
(724) 872-5621
(724) 872-6660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001036189
—
PA
05
—
1036189
—
PA
Enumeration date
09/28/2005
Last updated
03/12/2010
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