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Organization

PRESQUE ISLE OPTIQUE LLC

Active
Other names
Council Optometric Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD M. STEFANIC (OPTICIAN/OWNER)
(814) 454-7138
Entity
Organization

Contact information

Practice address
147 W 18TH ST, ERIE, PA 16501-2103
(814) 454-7138
Mailing address
147 W 18TH ST, ERIE, PA 16501-2103
(814) 454-7138

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEGOO1057
PA
156F00000X
Technician/Technologist

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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