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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