Organization
NORTH POCONO FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN AGOSTINELLI OD (SOLE MEMBER)
(570) 842-0331
Entity
Organization
Contact information
Practice address
921 DRINKER TPKE, STE 15, COVINGTON TWP, PA 18444-7947
(570) 842-0331
Mailing address
921 DRINKER TPKE, STE 15, COVINGTON TWP, PA 18444-7947
(570) 842-0331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-000799
PA
Other
Enumeration date
08/04/2006
Last updated
09/04/2014
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