Individual
KRYSTAL MARIE FORDOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
300 STATE ST STE 200, ERIE, PA 16507-1429
(814) 453-4575
(814) 459-3885
Mailing address
300 STATE ST STE 200, ERIE, PA 16507-1429
(814) 453-4575
(144) 593-8858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002236
PA
Other
Enumeration date
08/23/2009
Last updated
03/29/2023
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