Organization
EYEWEAR UNIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD D PERSONETT O.D. (OWNER)
(907) 347-1934
Entity
Organization
Contact information
Practice address
5345 ROUTE 30, GREENSBURG, PA 15601-7875
(907) 347-1934
Mailing address
318 CHRISNER RD, LIGONIER, PA 15658-2304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE008287T
PA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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