Individual
GARY L SCHEIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 MAHANTONGO ST, POTTSVILLE, PA 17901-3061
(570) 622-3937
Mailing address
P.O. BOX 420, POTTSVILLE, PA 17901-0420
(570) 622-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG001179
PA
332H00000X
Eyewear Supplier
OEG00179
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391178
NATIONAL VISION ADM.
PA
01
—
391221
NATIONAL VISION ADM.
PA
Enumeration date
05/04/2006
Last updated
03/30/2012
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