Individual
DR. CHARLES J. FALSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2790 EARLYSTOWN RD, SUITE A, CENTRE HALL, PA 16828-9149
(814) 364-1812
(814) 364-1813
Mailing address
1011 KATHRYN ST, BOALSBURG, PA 16827-1646
(814) 466-9093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000392
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000392
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034188R8M
GROUP MEMBER PROVIDER NUMBER
PA
01
—
1720122732
GROUP NPI
PA
01
—
DD9538
PTAN
PA
Enumeration date
10/19/2006
Last updated
05/11/2009
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